咽胃吻合术在高位上段食管癌治疗中的临床应用  

The method of treating high upside chest's esophageal cancer by oesophagus removal and deglutition stomach inosculating

作　　者：陶平[1] 吴建军[1] 李建平[1] 屈军[1] 

机构地区：[1]阆中市人民医院胸外科,四川阆中637400

出　　处：《医学信息（手术学分册）》2008年第9期802-804,共3页Medical Information Operations Sciences Fascicule

摘　　要：目的总结采用下咽胃吻合治疗颈及高位胸上段食管癌的经验及效果。方法回顾分析18例应用咽胃吻合重建消化道治疗食管癌的临床资料。均采用食管全切除,胃经食管床上徙至颈部行下咽胃吻合。结果全组无手术死亡,术后发生颈部吻合口瘘并腹部切口裂开1例,喉返神经损伤3例,颈部切口感染1例。随访6月-6年,平均2年,3例分别于术后3～5个月发生吻合口不同程度的狭窄,均行扩张后治愈;切端癌残留1例。结论下咽胃吻合治疗食管癌成功的关键是直视下游离、良好的吻合技术和胃组织及血供的充分保护,其手术在基层医院可行并有益。Objective To smmarize the effect and experience of neck and high upside chest＇s esophageal cancer by using deglutition stomach inosculate. Methods To retrospectively study the 18 cases clinical data of throat - stomach inosculate to reconstraet alimentary tract to treat esophageal cancer. All cases are oesophagus total removal and the deglutition stomach inosculate by pulling stomach to neck through esophageal bed. Results All group no dead , 1 pa- tient took place neck anastomotic fistula and abdomen incision rupture ,3 patients harmed recurrent laryngeal nerve , 1 patient infected in neck incision . Following - up 6 month to 6 year ,average 2 years . 3 patients took place ,to one degree or another, anastomotic fistula narrow and all cured by expansion. 1 patient had residual carcinomal cell in ineisal margin. Conclusions It is the key that under direct vision of dissociation and fine inosculate skill and full protection of stomach tissue and fine blood supply in successful neck and high upside chest＇s esophageal cancer by using deglutition stomach inoseulate. This surgy is feasible and beneficial in basic hospital.

关 键 词：食管癌 食管切除 下咽 吻合术 外科 

分 类 号：R735.1[医药卫生—肿瘤]