经腹纵隔内食管胃黏膜吻合术治疗贲门癌103例分析  

Transabdominal intramediastinal esphagogastrostomy covered by sero-muscular flap of gastric wall for the treatment of gastric cardial cancer

作　　者：陈海鹏[1] 魏文波[1] 翁建东[1] 彭士俊[1] 蔡淡龙[1] 

机构地区：[1]广东省揭阳市人民医院普通外科,522000

出　　处：《中国实用外科杂志》2005年第1期50-51,共2页Chinese Journal of Practical Surgery

摘　　要：目的　探讨治疗贲门癌的手术新入路及吻合方法。方法　广东省揭阳市人民医院普通外科 1997年1月至 2 0 0 3年 7月经腹切开膈肌脚入路 ,行胃浆肌瓣覆盖 食管胃黏膜吻合 10 3例。结果　全组病例无死亡、无吻合口瘘 ,亦无食管切缘癌残留。术后并发症发生率 4 82 %。结论　经腹切开膈肌脚 ,行胃浆肌瓣覆盖 食管胃黏膜吻合术 ,操作在腹腔进行 ,创伤及生理干扰较小 ;能有效地预防吻合口漏 ;既能切除足够的食管 ,又能扩大淋巴结的清除范围 ,适用于浸润食管长度 <2cm的贲门癌的手术治疗。Objective To evaluate a new surgical approach and anastomosis for the treatment of carcinoma of the gastric cardia. Methods transabdominal intramediastinal esophagogastric anastomosis covered by sero-muscular flap of gastric wall for cardial carcinoma in 103 cases. Results The method reached the satisfactory surgical resutlt in terms of tumor free cut edge on esophagus end of the resected samples. And the morbidity rate was 4 82%. Conclusions The technique enables lymphadenectomy within the lower mediastinum and a sufficiently long enough resection of esophagus.Transabdominal incision of the crus dextrum of the diaphragm makes a clear operative field for the purpose of radical operation for carcinoma of the gastric cardia.the anastomosis eppectively prevents anastomotic leakage.this procedure is indicated for cardial carcinoma cases in which the esophaged involvement is within 2cm.

关 键 词：治疗 经腹 食管胃 贲门癌 胃黏膜 吻合术 肌瓣 结论 广东 目的 

分 类 号：R735[医药卫生—肿瘤] R656.61[医药卫生—临床医学]