经食管床弓上食管胃机械吻合在食管癌手术中的应用  

The Application of Mechanical Esophagogastrostomy Above the Aortic Arches in the Esophageal Bed

作　　者：罗卿 杨绍福[2] 赵永生[2] 赖应龙[2] 孙雪梅[2] 张武[2] 

机构地区：[1]蓬安县中医医院胸外科,四川蓬安637800 [2]川北医学院附属医院胸心外科,四川南充637000

出　　处：《川北医学院学报》2011年第6期529-532,共4页Journal of North Sichuan Medical College

基　　金：四川省卫生项目(100161)

摘　　要：目的:探讨食管癌手术中使用弯管型吻合器经食管床行食管胃吻合的应用。方法:回顾性分析680例食管中、下段癌经左胸行食管癌切除,采用多次或一次性弯管型吻合器,经弓后食管床在主动脉弓上行食管胃吻合。结果:一次性吻合成功668例。吻合失败12例。死亡8例。随访570例(83.8%),随访时间(3-84)个月。结论:胸中、下段食管癌患者手术时采用左胸后外侧肋间切口,使用弯管型吻合器经弓后食管床行食管胃弓上吻合手术难度较大,手术技术要求较高,胃肠道重建模式保留正常消化道解剖结构,术后并发症相对较少,患者的生存质量得到提高,值得倡导应用。Objective：To explore the application of mechanical esophagogastrostomy above the aortic arches in the esophageal bed.Methods： To retrospectively analyze the clinical data of 680 patients with mid and lower esophageal cancer,who underwent esophagogastrostomy through the left,posterolateral incision.Restults： Anastomosis was done successfully in 668/680 patients,and failed in 12/680.There was mortality in Eight cases（8/680）.Conclusions： The method is a more proficient technique,has less complications,and provides the patients with a longer term quality of life.It shoud be recommended and applied more widely.

关 键 词：食管癌 食管胃机械吻合 食管床 

分 类 号：R735.1[医药卫生—肿瘤]