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对不能切除的晚期食管、贲门癌,以往多采用胃或空肠造瘘术解决进食问题,而致病人失去“口福”之美。我们创用剔除肿瘤近端食管粘膜的癌灶旷置术及食管重建术,解决了这部分病人的经口进食问题。提高了生活质量,提供了化疗和放疗良好的机体条件,能延长病人寿命。避免了不剔除粘膜单纯切除食管封闭残端所致的潴留性“囊肿”,同时亦避免了食管胃侧侧吻合后癌灶和吻合口之盲端的积食性感染,解除了胃或空肠造瘘给病人带来的精神上和心理上的创伤,扩大了手术治疗的范围。
For the unresectable advanced esophageal and cardiac cancers, stomach or jejunostomy was used in many cases to solve the problem of eating, which caused the patient to lose the “blessing” beauty. We solved the problem of oral feeding in this group of patients by injecting and removing the lesions of the proximal esophageal mucosa and performing reconstruction of the esophagus. Improves quality of life, provides good body conditions for chemotherapy and radiotherapy, and extends patient life. It avoids the retention of “cysts” caused by simple resection of the esophageal closed stump, and also avoids the infection of the surface of the esophagogastric anastomosis and the blind end of the anastomotic stoma, and relieves the stomach or jejunostomy. The mental and psychological trauma that the patient brings has expanded the scope of surgical treatment.