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吻合口漏是食管癌手术的最常见并发症之一,胃管的血供主要来自胃网膜右动脉,将胃提高至颈部或胸腔部后,其血供不佳而易发生吻合口漏。术前栓塞疗法(PET)可解决此问题,即栓塞胃左、右动脉和脾动脉,使胃的血供仅来自胃网膜右动脉,后者呈代偿性扩张,由此增加胃管的血流和组织循环。1993～1995年,日本Nagoya大学医学院第二外科和放射科曾施行食管癌胃管再建术45例。75岁以下,无胃十二
Anastomotic leakage is one of the most common complications of esophageal cancer surgery. The blood supply of the stomach tube is mainly from the right gastroepiploic artery. After the stomach is raised to the neck or chest cavity, the blood supply is poor and the anastomotic leakage is easy to occur. . Preoperative embolization (PET) can solve this problem by embolizing the left and right arteries of the stomach and splenic arteries so that the blood supply to the stomach comes only from the right gastroepiploic artery, which is a compensatory dilation, thus increasing the number of gastric tubes. Blood flow and tissue circulation. From 1993 to 1995, 45 cases of esophageal cancer reconstructive surgery were performed at the Second Surgical and Radiology Department of Medical College, Nagoya University, Japan. Under 75, no stomach