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目的 :探讨贲门癌切除的有效吻合技术 ,降低吻合口瘘、狭窄以及返流等主要并发症的发生。方法 :从 1981年 6月至 1998年 12月 ,对食管与胃或空肠的吻合方法进行了改进 ,采用Albert氏单层吻合法进行消化道重建术 10 0 4例 ,其中 899例食管与残胃端侧吻合 ;95例食管与空肠端侧和空肠与空肠侧侧Brown吻合形成双腔代胃。结果 :全组病例无吻合口瘘及手术死亡。结论 :单层吻合具有对合整齐血供好 ,食管切缘癌残留率、吻合口瘘和狭窄、返流性食管炎等并发症发生率低等优点
Objective: To investigate the effective anastomosis of cardiac cancer resection and reduce the occurrence of major complications such as anastomotic leakage, stenosis and regurgitation. METHODS: From June 1981 to December 1998, the method of anastomosis between the esophagus and the stomach or jejunum was modified. Albert’s single-layered anastomosis was used for gastrointestinal reconstruction in 104 cases, of which 899 were esophagus and residual stomach. End-to-side anastomosis; 95 cases of esophagus and jejunum side and jejunum and side of the jejunum side of the Brown anastomosis to form a double cavity replacement stomach. Results: There was no anastomotic leakage and operative death in all cases. Conclusion: Single-layered anastomosis has the advantages of good blood supply for neat alignment, low residual rate of esophageal resection margin cancer, anastomotic leakage, stenosis, reflux esophagitis and other complications.