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目的预防全食管切除术后早期胸胃出口梗阻。方法分析8例全食管切除术后早期胸胃出口梗阻的病因。结果发现膈肌裂孔环箍4例、胃出口被过度牵拉2例、胃体膨入胸腔造成出口成角梗阻1例、粘连索带压迫胃出口1例。其中7例获及时手术解除梗阻,痊愈出院。结论全食管切除术后早期胸胃出口梗阻均与术中操作不当甚至操作失误有关。只要能引起术者特别的注意,此并发症多可避免。
Objective To prevent early thoracic gastric outlet obstruction after total esophagectomy. Methods Eight cases of early thoracic gastric outlet obstruction after total esophagectomy were analyzed. The results showed that there were 4 cases of diaphragmatic hoop hoop, 2 cases of excessive gastric outlet at the outlet of the stomach, 1 case of outlet angle obstruction due to swelling of the stomach body into the thoracic cavity, and 1 case of gastric outlet under the adhesive cable. Among them, 7 cases were relieved of obstruction by timely surgery, and were discharged. [Conclusion] Early thoracic gastric outlet obstruction after total esophagectomy is related to improper intraoperative operation and even operational errors. As long as the surgeon can pay special attention, this complication can be avoided.