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目的:探讨在食管癌根治术中胸腔胃近吻合口处建立三角平面以减少吻合口瘘发生。方法:游离食管和胃,食管残端斜行吻合于胸腔胃后壁,形成His角和人工胃底,食管癌根治术后在胸腔胃近端缝合形成一个三角平面,此时吻合口上方已形成“生理性高压区”和His角。结果:30例术后感觉良好,无吞咽及进食后不适,无吻合口瘘的发生。结论:食管癌根治术后在胸腔胃建立三角平面可有效地减少吻合口瘘并发症,提高生存质量。
Objective: To investigate the establishment of trigone plane at the proximal anastomosis of thoracic cavity in esophagectomy to reduce the incidence of anastomotic fistula. Methods: The free esophagus, stomach and esophagus were obliquely anastomosed obliquely to the posterior wall of thoracic cavity to form His angle and artificial gastric fundus. After esophagectomy, the thoracic stomach was closed to form a triangular plane, “Physiological pressure zone ” and His angle. Results: 30 patients felt good, no swallowing and eating discomfort, no anastomotic leakage occurred. Conclusion: The establishment of triangular plane in the thoracic stomach after radical resection of esophageal cancer can effectively reduce the complications of anastomotic leakage and improve the quality of life.