胃大部切除术后食管癌的外科治疗(附18例报告)  

Surgical treatment of the esophageal carcinoma after subtotal gastrectomy(report of 18 cases).

作　　者：苏祖栋[1] 郭祥云[1] 涂远荣[1] 李旭[1] 林敏[1] 王于[1] 

机构地区：[1]福建医科大学附属第一医院,福州350005

出　　处：《中国实用外科杂志》2000年第3期159-160,共2页Chinese Journal of Practical Surgery

摘　　要：目的　研讨胃大部切除术后食管癌 18例的外科治疗效果。方法　 18例均采用经左胸或胸腹联合切口食管癌切除 ,将残胃连同脾胰尾转移胸腔 ,主动脉弓上或弓下食管残胃端侧机械吻合术。结果　延伸了残胃上提高度 ,保证了吻合口无张力状态 ,术后恢复顺利。结论　该术式相对简单 ,创伤小 ,并发症少 ,较为理想。Objective To investigate the surgical treatment of the esophageal carcinoma after subtotal gastrectomy.Methods Through left thoracotomy or combined thoracoabdominal incision,all 18 patients underwent esophagectomy.The esophagogastrostomy was lain above or below the aortic arch with the stomach,spleen and cauda of pancreas lifted to the thoracic cavity.Results The stomach could be lifted higher and the anastomotic stoma kept from tension.The patients recovered smoothly .Conclusions This sort of surgery is handy,of little damage,and has less postoperative complications and better curative effect.

关 键 词：胃大部切除术 食管癌 外科治疗 手术后并发症 

分 类 号：R656.610.6[医药卫生—外科学] R735.105[医药卫生—临床医学]