非开胸食管内翻拔脱术（附44例报告）

本文报告应用非开胸食管内翻拔脱术４４例的体会和经验，其中下咽癌２４例、食管癌１７例、贲门癌３例。食管重建应用全胃２８例，结肠１３例，胃管３例，术后主要并发症为颈部吻合口瘘１０例（２２．７％），喉返神经损伤３例（６．８％）．此术式对心肺功能影响少，术后恢复较快，但应严格掌握适应症．对拔脱的技术进行了改进，应用寸带代替技脱器，并做为食管床压迫止血的纱布卷及重建脏器的引导，操做简便，防止了因器械造成食管穿孔和滑脱。

INVERSION-STRIPPING ESOPHAGECTOMY WITHOUT THORACTOMY(REPORT OF 44 CASES)

The preliminary experience on 44 cases of inversion-strippingesophagectomy without thoractomy was reported.Among 44 patients, there were 24 caseswith the carcinoma in the hypopharynx, 17 in the esophagus and 3 in cardia. The reconstruction was performed by using the stomach(28 cases),colonic interposition(13 cases)andgastric tube(3 cases).The most common postoberative complication was anastomotic leakage at neck 10 cases(22.7%)alld left vocal cord paralysis 3 cases (6. 8%). The authorssuggested that the indications of the esophagectomy without thoractomy should be strictlychosen. The ribbon was used as a substitute for the inversion-stripping instrument.The newtechnigue was easy to operate with less risk of penetrating esophageal injuries.It is safe toguide a bunch of bandage in order to oppress bleeding in posterior mediastinal and to guiderebulding organ up to cervical region.