食管胃吻合术的改进及临床研究  

Clinical study on a new modified esophagogastrostomy

作　　者：许洪瑞[1] 李林[1] 杨炳军[1] 田柳堤[1] 

机构地区：[1]天津市第二中心医院胸外科,天津300120

出　　处：《天津医科大学学报》2003年第1期97-98,105,共3页Journal of Tianjin Medical University

摘　　要：目的 :探讨降低食管癌、贲门癌切除术后吻合口瘘及吻合口狭窄发生率的手术方法。方法 :将Haight食管吻合法加以改进 ,应用此术式行食管癌、贲门癌切除 ,食管胃吻合术495例。结果 :本组无手术死亡。吻合口瘘和吻合口狭窄发生率分别为0.61 %和0.4%。无其它严重的手术并发症。结论 :采用新术式在操作上容易使吻合口粘膜对合整齐 。Objective:To discuss the relationship between the methods of esophagogastric anastomosis and the occurrence of the postoperative anastomotic leakage and stenosis in the patients with esophageal and cardiac cancer.Methods:A new type of modified anastomosing technique(Modified Haight esophagoesophagostomy)was adopted in495cases of esophageal resection and gastric cardiectomy.Results:There was no operative death.The incidence of anastomotic leakage and anastomotic stenosis was0.61%and0.4%respectively.There were no other severe operative complications.Conclusion:The new method of esophagogastrostomy is likely to make it easier for mucosa conjunction so as to prevent aspects of elements eliciting anastomotic leakage and avoid anastomotic stenosis effectively.

关 键 词：食管胃吻合术 吻合口瘘 吻合口狭窄 

分 类 号：R656.61[医药卫生—外科学]