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作 者:王家顺[1] 冯伦高[1] 汪文东[1] 杨林[1]
机构地区:[1]同济医科大学附属协和医院胸外科,武汉430022
出 处:《同济医科大学学报》1994年第5期420-422,426,共4页Acta Universitatis Medicinae Tongji
摘 要:1983年以来,作者对15例残胃贲门癌、食管瘤患者行再次手术治疗。其中,采用切除肿瘤,保留部分残胃与食管吻合术治疗贲门癌、食管下段癌10例,全胃切除术治疗贲门癌3例和结肠代食管术治疗食管中上段癌2例。残胃食管吻合采用作者设计的食管-胃浆膜肌层套式吻合法,10例患者手术效果满意,进食良好,术后恢复快,预后较3例全胃切除术好。并就手术中残胃的体积、血液供应及消化道重建方式等问题提出了自己的观点,对手术方式的选择及其与预后的关系进行了讨论。Between 1983 and 1993,fifteen patients with carcinoma of the gastric cardia and esophagus were surgically treated after having received the subtotal gastrectomy for benign disease.Partial esophagogastrectomy and esophagogastroanastomosis were performed in 10 patients,total gastrectomy in 3 and esophagectomy plus colon interposition in 2.A new sleeve esophagogastrostomy was applied in 10 patients with good results.The effect and the prognosis of esophagogastroanastomosis were better than those of total gastrectomy.We have got some experience about how to take advantage of the gastric stump and how to reconstruct the duct of digestion by our methods.In addition, the relationship between the operation and the prognosis is also discussed.
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