食管癌切除术后食管胃侧侧吻合技术的应用现状  

The Current Application of Side-to-side Stapled Esophagogastric Anastomosis after Resection of Esophageal Carcinoma

作　　者：张建国[1] 于振涛[1] 任鹏[1] 尚晓滨[1] 姜宏景[1] 

机构地区：[1]天津市肿瘤防治重点实验室天津医科大学附属肿瘤医院食管肿瘤科,天津市300060

出　　处：《中国肿瘤临床》2010年第16期958-960,共3页Chinese Journal of Clinical Oncology

摘　　要：随着外科手术技术的发展,食管癌切除术后吻合技术的概念也在发生着明显的变化。到目前为止,食管胃吻合的技术正在朝着最大限度减少术后并发症和最大限度提高术后长期生存质量的方向发展。如今吻合技术对于食管癌切除手术的重要性更加明确,因为流行病学的进展和术后管理技术的提高使得患者的生存率得到改善,使吻合成功与否成为手术成败的关键。食管胃侧侧吻合技术仍存在所谓的"学习曲线"问题,有学者提出外科医生一般应实施5.5～15.5个手术才能掌握该技术。With the development of surgical technique, the concept of anastomosis after resection of esophageal carcinoma has greatly changed. The technique of esophagogastric anastomosis has remarkably developed to lower morbidity and to improve patients＇ quality of life. At present, the role of anastomosis technique is not as important as it used to be be- cause of changes in epidemiology and the improvement in postoperative management. The successful staple is still the key point of surgery. The learning curve of this new technique is quite different among surgeons because of different clinical experience and number of surgeries they have performed. It is considered that a surgeon need to perform about 5.5 to 15.5 such surgeries to get skilled in this area.

关 键 词：食管癌 手术 侧侧吻合 

分 类 号：R735.1[医药卫生—肿瘤]