食管胃1层颈部吻合治疗食管癌130例  

One-layered cervical esophagogastrostomy for the treatment of 130 cases of esophageal carcinoma

作　　者：马延新 郭秉河 秦勇 董杰 

机构地区：[1]辉县市公疗医院胸外科,河南辉县453600

出　　处：《新乡医学院学报》2005年第5期501-502,共2页Journal of Xinxiang Medical University

摘　　要：目的分析食管癌(EC)切除,颈部食管胃1层吻合术预防吻合口瘘及切端癌阳性的临床机制。方法本组130例,男95例,女35例,食管中段癌109例,上段癌21例,全部病例均行EC切除,颈部食管胃1层吻合。结果本组130例均临床治愈;无1例发生吻合口瘘及吻合口狭窄切端癌阳性。并发症:肺炎、肺不张2例,单纯脓胸1例,胸部切口感染2例,暂时性呛咳、声嘶4例。结论颈部食管胃1层吻合法能预防并降低吻合口瘘及切端癌阳性率的的发生;该术式是一种操作简便省时,术后并发症少,手术效果好的吻合方法。Objective To analyze esophageal carcinorna（EC） resection and mechanism of one-layered cervical esophagogastrostomy in the prevention of aiaastomotic leakage and positive margin. Methods In 130 EC patients（95 men and 35 women）, 109 cases were upper thoracic EC, 21 cases were middle thoracic EC. All patients were treated with EC resection and one-layered cervical esophagogastrostomy. Results All patients were cured,no anastomotic leakage and stenosis and positive margin. Complications were consisted of pneumonia and pulmonary atelectasis（2 cases）, simple empyema （1 case）, thoradc region incisal infection （2 cases）, transient bucking and hoarseness（4 cases）. Conclusion One-layered cervical esophagogastrostomy can prevent and reduce incidence of anastomotic leakage and stenosis and positive margin. It is a feasible, simple and effective measure with less complication.

关 键 词：食管癌 颈部1层吻合术 吻合口瘘 切端癌 

分 类 号：R735.1[医药卫生—肿瘤]