胃大部切除术后食管癌,贲门癌的外科治疗（附22例报告）  

Surgical Treatment of Esophageal and Cardiac Carcinoma after Subtotal Gastrectomy(report of 22 cases)

作　　者：傅成国 高惠川 

机构地区：厦门市中山医院,361004

出　　处：《福建医药杂志》2000年第4期10-11,共2页Fujian Medical Journal

摘　　要：目的 探讨胃大部切除术后食管癌、贲门癌２２例的外科治疗方法。方法 食管癌、贲门癌切除后的消化道重建的方式：食道残胃吻合术６例，空肠移植食管重建术８例，结肠移植食管重建术２例，空肠代胃术６例。结果 全组病例均恢复顺利，１例并发吻合口瘘，无手术死亡。结论 在胃大部切除术后食管癌、贲门癌的外科治疗中应根据患者的不同情况选择相应的消化道重建术。残胃可通过胃空肠吻合口获得充足的血供，因此。Objective:To evaluate the surgical method in treatment of esophageal and cardiac carcinoma after gastrectomy.Methods:The ways of rebuilding the digestive tract after resection of esophageal or cardiac cancer:1.Esophagogastrostomy(6 cases);2.Jejunal interposition for esophageal replacement(8 cases);3.Colonic interposition for esophageal replacement(2 cases);4.Jejunal interposition for gastric replacement(6 cases).Results:All the patients recovered.(anastomotic leakage occurred in 1 case but no operative death).Conclusion:In surgical treatment of esophageal and cardiac carcinoma after subtotal gastrectomy,the method of rebuilding the digestive tract should be chosen differently as the patients situation difference.The remainder of stomach can get enough blood supply by the gastrojejunostomy.Esophagogastrostomy can be considered as the main method of rebuilding the digestive tract.

关 键 词：胃大部切除术 食管癌 贲门癌 外科治疗 

分 类 号：R735.1[医药卫生—肿瘤]