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1996年5月至1997年11月,我们行大网膜包绕预防结肠代食管颈部吻合口瘘52例,效果良好,报告如下。 1 临床资料 男38例,女14例。年龄45～72岁,平均58岁。均为恶性食管肿瘤,其中鳞状细胞癌51例,食管平滑肌肉瘤1例。病变位于中段39例,下段3例,上段10例。病变3～8cm长,平均5.2cm。 2 手术要点 常规三切口行胸骨后结肠代食管术。游离结肠时,沿横结肠无血管区游离大网膜,使整个大网膜连于胃体大弯侧。自左向右剪裁大网膜,即切断胃网膜
From May 1996 to November 1997, we performed a large omentum wrapping to prevent 52 cases of cervical esophageal anastomotic stoma fistula. The results were good. The report is as follows. 1 Clinical data Male 38 cases, female 14 cases. Age 45-72 years old, average 58 years old. All were malignant esophageal neoplasms, including 51 cases of squamous cell carcinoma and 1 case of esophageal leiomyosarcoma. The lesions were located in the middle segment in 39 cases, in the lower segment in 3 cases and in the upper segment in 10 cases. The lesions are 3-8cm long and average 5.2cm. 2 surgical points The conventional three incisions performed on the sternal retrograde colon esophagus. When the colon is free, the free omentum is located along the avascular area of the transverse colon, so that the entire omentum is connected to the side of the body curvature. Cut the omentum from left to right, cut off the gastric lining