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目的 探求实用、安全的食管贲门癌切除食管—胃吻合方法。方法 对 385例食管、贲门癌切除术患者 ,采用单纯食管—胃吻合术和食管粘膜延长、胃—食管单层宽边吻合术 ,并进行两种吻合方法的比较。结果 2 5 1例采用单纯食管—胃吻合术患者 ,术后吻合口瘘的发生率为 4.8% ,吻合口狭窄 1.6 % ,死亡 2例 ;134例采用食管粘膜延长、胃—食管单层宽边吻合术者无吻合口瘘及吻合口狭窄。结论 延长食管粘膜的食管—胃单层宽边吻合术是一种简单、实用、安全的吻合方法
Objective To explore a practical and safe method for resection of esophageal-gastric cancer by esophagogastric anastomosis. Methods A total of 385 patients with esophageal or cardiac cancer were treated with simple esophageal-gastric anastomosis and esophageal mucosal elongation, and gastro-esophageal monolayer broad-side anastomosis. The results of two anastomosis methods were compared. RESULTS: A total of 251 patients were treated with simple esophagogastric anastomosis. The incidence of postoperative anastomotic leakage was 4.8%, anastomotic stenosis was 1.6%, and 2 deaths. In 134 cases, esophageal mucosal prolapse and gastroesophageal monolayer broadside were used. Anastomoses had no anastomotic leakage and anastomotic stenosis. Conclusion Esophageal-stomach monolayer broad-side anastomosis with esophageal mucosa prolongation is a simple, practical and safe method of anastomosis