剔除肿瘤近侧食管粘膜癌灶旷置术  

PICK OUT LOCAL ESOPHAGOMUCOSA BYPASSING ANASTOMOSIS FOR UNRESECTABLE CARCINOMA OF ESOPHAGUS

作　　者：张秉钵[1] 高松[1] 钟文元 路传忠 杜良桐[1] 刘启宗[1] 晁储璋[1] 娄维富 任立贤[1] 彭立志[1] 苏应衡(指导) 赵崇伟(指导) 

机构地区：[1]泰山医学院附属医院胸外科 [2]不详

出　　处：《山东医科大学学报》1992年第4期323-324,共2页Acta Academiae Medicinae Shandong

摘　　要：为使不能行手术切除的晚期贲门癌和食管癌病人进食,设计了剔除肿瘤近侧食管粘膜癌灶旷置后重建食管术。本术式避免了不剔除粘膜而单纯切断食管封闭近肿瘤断端后形成潴留性“囊肿”的可能。本组10例术后效果优于行单纯剖胸探查术、胃或空肠造瘘术、食管腔内置管术及食管胃底转流术者。In general,gastrostomy and/or jejunostomy are/is used for unresectable carcinoma of esophagus and difficulty of swallowing even liquid diet patients.These kinds of patients can not enjoy the comforts of swallow- ing for everly.We have used the new operative technique,named“Pick out local esophagomucosa bypassing anastomosis”,to solve the difficulty of swallow-ing.After the bypassing operation,dysphagia disappeard immediately.When the esophageal tumor is decided in unresectable,out down the esophagus above the proximal end of tumor about 5 cm.Then pick out the mucosa of the proximal part of the remained esophageal tumor segment.Usually out out the esophageal mucosa 2-3 cm and then close the remained proximal end of esophagus in four layers of suturing.Then anastomoses the proximal segment esophago-end to the fundus of the mobilized thoracic stomach.The advantage of this operation may avoied the cyst of accumulation of the proximal part of the remained tumorous esophagus,and then bleeding,infection,and perforation would be avoieded. The clinical results of 10 cases were good.Dysphasia disappeard at once and swallowing no troubles.

关 键 词：贲门肿瘤 食管肿瘤 癌灶旷置术 外科 手术 

分 类 号：R735.105[医药卫生—肿瘤]