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目的 探讨食管中下段癌根治手术径路、吻合部位及吻合方法。方法 对 1990年～ 1999年经右胸、上腹双切口行食管中下段癌 79例全胸段切除 ,并于右胸顶用吻合器行食管胃吻合术患者进行分析。结果 全组无吻合口瘘及手术死亡。无吻合口重度狭窄 ,仅出现 1例吻合口轻度狭窄 ,经扩张奏效。清扫胸腹相关淋巴结较为彻底。结论 此法可取得食管中下段癌根治效果 ,较颈部吻合并发症低 ,较经左胸食管床食管胃弓上吻合简便、可靠。
Objective To explore the radical surgical approach, anastomosis site and anastomosis of the lower esophageal cancer. Methods From 1990 to 1999, the right thoracic and abdominal double incision in the lower esophageal carcinoma of the 79 cases of total thoracic resection, and right thoracic anastomosis esophagogastrostomy patients were analyzed. Results The whole group had no anastomotic fistula and died of surgery. No anastomosis severe stenosis, only one case of mild anastomotic stenosis, effective by expansion. Sweeping chest and abdomen related lymph nodes more thoroughly. Conclusion This method can achieve the middle and lower esophageal cancer radical effect, lower than the anastomotic complications of the neck, compared with the left esophageal and stomach on the left esophageal anastomosis simple and reliable.