经食管裂孔巨食管切除术  

Resection of Megaesophagus via Transhiatal Approach

作　　者：刘凯峰[1] 林紫明[1] 卢有群[1] 陈春梅[1] 施友玲[1] 陈月华[1] 何程[1] 高漠义[1] 

机构地区：[1]福建省福清市医院外科,福清 350300

出　　处：《中国现代手术学杂志》2005年第3期199-201,共3页Chinese Journal of Modern Operative Surgery

摘　　要：2004年11月应用经食管裂孔食管切除术(transhiatalesophagectomy,THE)为1例贲门失驰缓症终末期患者行巨食管切除。全麻下于上腹部切口经食管裂孔钝性游离中下段食道,经颈部切口游离上段食道,切除巨食管后,将胃和颈部食道于颈部行改良式大口吻合,手术历时4.5h,出血620ml,随访6月,患者除发生短暂声嘶外其他情况良好。THE可用于巨食管的切除,具有不开胸、创伤小、恢复快的优点。1 case of terminam-staged cardia achalasia underwent resection of megaesophagus via transhiatal approach in November 2004.Upper abdominal incision was made under general anesthesia, middle and distal part of esophagus was bluntly mobilized via hiatus, proximal part of esophagus was mobilized through a neck incision. A modified anastomosis was made between stomach and cervical esophagus, operative duration was 4.5 h, blood loss was 620 ml, the patient recovered well except transient hoarseness. Transhiatal esophagectomy for resection of megaesophagus avoid thoracotomy, demonstrating less invasion and rapid recovery.

关 键 词：食管切除术 贲门失驰缓症 巨食管切除术 THE 食管裂孔 

分 类 号：R655.4[医药卫生—外科学]