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目的探讨食管癌切除后食管胃主动脉后吻合的简便方法。方法食管癌切除后,将管状胃经主动弓后绕过其上缘、牵到主动脉弓前与食管在胸膜顶以管状吻合器吻合,吻合后将食管胃还纳食管床内。结果采取此食管胃吻合法共48例,随访2个月～3年,平均约10个月,无吻合口瘘,心血管并发少,操作简便,省时约20～30 min。结论经主动脉弓前行食管床内胸膜顶食管器械吻合操作简便、省时。
Objective To investigate the simple and convenient method of anastomosis of esophageal and gastric aorta after resection of esophageal cancer. Methods After resection of esophageal cancer, the tubular stomach was bypassed its upper edge by the active arch, the anterior arch of the aortic arch and the esophagus in the top of the pleura with a tubular stapler anastomosis, anastomosis will esophageal also esophageal bed. Results A total of 48 esophagogastric anastomosis patients were followed up for 2 months to 3 years with an average of about 10 months. There was no anastomotic fistula and few cardiovascular complications. The time was about 20-30 minutes. Conclusion Anastomosis of the esophagus through the aortic arch in front of the pleural top esophageal anastomosis is simple and time-saving.