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收治贲门癌650例,手术切除608例,其中保留食管裂孔492例,方法是:经左侧6或7肋间胸腹联合切口,膈肌切开至中心腱,不切开食管裂孔,两角作半荷包缝合,中间作一针褥式缝合,此三针的另一头缝于食管裂孔处,大弯残端包埋和食管裂孔固定一道完成,术式改进后膈肌未完全切开,食管裂孔的完整性未破坏,胃残端包埋与食管裂孔固定一并完成,对防止反流,有一定作用。
650 cases of cardiac cancer were treated and 608 cases were surgically resected. Among them, 492 cases of esophageal hiatus were preserved. The method was: through 6 or 7 intercostal thoracoabdominal incisions on the left side, the diaphragm was incised to the center, and the esophageal hiatus was not cut. Semi-purse suturing, the middle for a needle sutured suture, the other three needles sewn to the esophageal hiatus, large curved stump embedding and esophageal hiatus to complete a complete surgery to improve the diaphragm is not completely cut, esophageal hiatus The intactness is not destroyed, and the embedding of the gastric stump and the esophageal hiatal hole are completed together, which has a certain effect on prevention of reflux.