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作者自1990年6月至1996年8月对206例食管、贲门癌切除行食管胃吻合术.颈段、胸上段、胸中段食管癌经右胸后外侧、腹、左颈部三切口,颈部食管胃垂直褥式内翻一层缝合法吻合。胸下段及贲门癌经左胸第6肋骨床切口胸腔内弓下食管胃用吻合器(上海产GF-1型管状消化道吻合器,器械头部外径28mm)吻合。结果无1例吻合口漏,吻合口狭窄1例,无手术死亡。本文介绍了手法、吻合器的使用和体会,并对术式的选择及并发症的预防作了讨论。
The authors performed an esophagogastric anastomosis on 206 cases of esophageal and cardiac cancer resections from June 1990 to August 1996. The neck, upper thorax, and mid-thoracic esophageal cancer were treated through three incisions of the right chest, posterolateral, abdomen and left neck. Part of the esophagogastric vertical sacral inversion suture method. The lower thoracic and cardia cancers were ligated through the left thoracic 6th rib bed incision in the intrathoracic lower bowel esophagogastric anastomosis (Shanghai GF-1 tubular digestive tract anastomosis, instrument head outer diameter 28mm). Results There was no anastomotic leak in one case, one anastomotic stenosis, and no operative death. This article describes the use of techniques and experience of manipulators and staplers, and discusses the choice of surgical methods and the prevention of complications.