贲门胃底切除余胃食管直接吻合治疗残胃贲门癌  

Remnant Cardiac Cancer Treated with Cardio-fundal Resection and Reanastomosis of Esophagus to the Remnant Stomach

作　　者：盛红光[1] 寿楠海[2] 陈问潭 

机构地区：[1]山东省泰安市中心医院肿瘤外科 [2]山东医科大学附属医院外科,济南市250012 [3]上海市纺织第三医院外科

出　　处：《中国肿瘤临床》2000年第5期340-342,共3页Chinese Journal of Clinical Oncology

摘　　要：目的 :减少残胃贲门癌全胃切除术后常见并发症的发生。方法 :应用贲门胃底切除、余胃食管再吻合术治疗 10例残胃贲门癌。结果 :全组术后无吻合口瘘、胃食管返流和吻合口狭窄等并发症 ,病理检查均未发现切缘癌残留。结论 :本术式保留部分正常胃体 ,比全胃切除更符合解剖生理功能 ,并且可有效地减少全胃切除术后发生的多种并发症。Objective: To evaluate the curative effect of this technique in treating remnant cardiac cancer instead of total gastrectomy which has many postoperative complications Methods: Ten cases of remnant cardiac cancer were treated with cardio-fundal resection and reanastomosis of esophagus to the remnant stomach Results: No anastomotic leakage, stricture or gastro-esophageal reflux occurred, and no marginal cancer of the residual stomach was observed histologically Conclusion: This operation is easy to perform and no time consuming with the tumor to be thoroghly resected Because the remnant stomach is preserved so the digestive function remained well and the complications of total gastrectomy can be reduced as well

关 键 词：胃大部切除术 贲门癌 残癌 胃食管直接吻合术 

分 类 号：R735.2[医药卫生—肿瘤]