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目的 :探讨经左胸食管床全胃移植颈部吻合术治疗食管中上段癌的临床效果。方法 :经左胸后外侧入路 ,游离胸段食管和全胃至幽门部 ,仔细探查 ;颈部取左胸乳突肌内缘切口 ,分离切除食管后将胃经食管床上提行食管胃端侧吻合。结果 :本组术后并发症发生率为 9.8% ( 4 /4 1) ,其中吻合口瘘发生率为 2 .4% ( 1/4 1) ,低于文献报告的发生率。结论 :应用本术式能减少病人肺功能的损失 ,消除胸内吻合口瘘凶险并发症的发生 ,并可减少手术创伤、简化手术过程 ,是一种适用的食管癌外科治疗术式。
Objective: To investigate the clinical effect of total anastomosis of the upper esophagus in the treatment of upper esophageal carcinoma through the anastomosis of the whole stomach in the left esophagus and esophagus. Methods: The left thoracic posterolateral approach, the free thoracic esophagus and the entire stomach to the pylorus, careful exploration; left thoracic mastoid muscle in the neck incision, resection of the esophagus after esophageal gastric esophageal bed Side anastomosis. Results: The incidence of postoperative complications in this group was 9.8% (4/4 1). The incidence of anastomotic fistula was 2.4% (1/4 1), which was lower than that reported in the literature. Conclusion: This technique can reduce the patient’s loss of pulmonary function, eliminate the occurrence of intra-thoracic anastomotic leakage and reduce the surgical trauma and simplify the surgical procedure. It is a suitable surgical treatment for esophageal cancer.