食管癌切除后胃经食管床重建食管术的应用体会

我院1987年12月至1989年12月对302例食管癌患者手术切除后采用了胃经食管床重建食管术的治疗,取得满意效果。全组术后并发症的发生率为5.6％,手术死亡率为0.7％。 本文对该术式的应用价值、手术注意要点作了重点讨论。认为此术式可以扩大手术适应症,提高肿瘤切除的根治度以及预防减少术后并发症的发生。对高龄患者,肺功能低下者以及胸上段、颈段食管癌患者尤其值得推荐应用。本术式成功的关键是左胸径路手术并保持替代的胃真正位于食管床内。

CLINICAL APPLICATION OF ESOPHAGOGASTROSTOMY THROUGH THE ESOPHAGEAL BED FOR ESOPHAGEAL CACINOMA

Satisfactory results were obtained in 302 patients with esophageal cancer from Dec. 1987 to Dec. 1989, using esophagogastrostomy through the esophageal bed. Post-operative complications occurred in 5.6% . The overall operative mortality was 0.7% .The value of the operation and the key points of this method were emphatically di-scussed, Its merits are: resecting the lesions radically, decreasing the incidence of post-operative complications. The anthors suggested that this technique is particularly suitable for the aged patients, and patients with deficient pulmonary functions and with carcinoma of the cervical or the superior mediastinal segment of the esophagus. The Key point of this method is to keep the transplaced stomach lying in the esophageal bed.