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目的:探讨改进手术方式预防食管胃吻合口瘘发生的方法。方法:对68 例食管癌、贲门癌根治术患者食管、胃吻合口行Gambee吻合的基础上加行一层胃浆肌层、食管肌层及纵膈胸膜包套式加固缝合。结果:所有68 例患者无1例发生吻合口瘘。结论:Gambee式吻合+胃浆肌层、食管肌层及纵膈胸膜包套式吻合有利于预防食管胃吻合口瘘的发生。
Objective: To explore ways to improve the surgical approach to prevent esophagogastrostomy. Methods: A total of 68 esophageal and gastric cardia cancer patients with esophageal and gastric anastomosis Gambee anastomosis based on the line with a layer of gastric myometrial, esophageal muscle and mediastinal pleura wrapped reinforcement suture. RESULTS: None of the 68 patients had anastomotic fistula. Conclusion: Gambee anastomosis + gastric myometrium, esophageal muscle and mediastinal pleura wrap anastomosis is conducive to the prevention of esophageal anastomotic fistula.