食管-空肠、食管-结肠端端吻合的临床应用  

Clinical application of end-to-end anastomosis between esophagus and jejunum,esophagus and colon

作　　者：马冬春[1] 魏大中[1] 范军[1] 徐世斌[1] 李田[1] 田界勇[1] 王君[1] 徐广文[1] 

机构地区：[1]安徽医科大学附属省立医院胸外科,合肥230001

出　　处：《安徽医科大学学报》2014年第11期1669-1671,共3页Acta Universitatis Medicinalis Anhui

摘　　要：回顾性分析67例空肠、结肠代食管消化道重建治疗食管胃双源癌、胃大部切除术后食管癌、残胃癌及胃体贲门癌的临床资料,总结食管-空肠、食管-结肠端端吻合方法,操作技巧及优点。全组无手术死亡,吻合口瘘3例,2例治愈,1例自动出院。胸腔感染1例,切口感染2例,一过性心律失常8例。吻合口无张力,术后消化道造影示吻合口通畅,无残端盲袋。Retrospective analysis was performed on 67 cases hospitalized at our department from January 2008 to June 2013 and operated on esophagus-gastric cancers, esophageal cancer after subtotal gastrectomy, remnant gastric carcinoma and gastric cardia cancer by use of gastrointestinal reconstruction with jejunum or colon. Operation pro- cedures, detailed skills and advantages about end-to-end anastomosis were summarized and presented. It showed that there was no death occurred among these patients. 3 cases had anastomotic fistula and among them 2 cases were cured and 1 ease was against-advice discharged. There was 1 case who was complicated with chest infection, 2 cases with incision infection and 8 cases with temporary arrhythmia. Anyway, all anastomosis showed no tension and X-ray diagnosis of gastrointestinal showed no obstruction and no stump blind pouch formed.

关 键 词：端端吻合 胃大部切除术后 食管胃双源癌 

分 类 号：R655.4[医药卫生—外科学]