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游离空肠移植治疗食管癌术后颈部食管结肠吻合口瘘
引用本文:张岩峰,林乐胜,沈毅,邹云文,李爱玉.游离空肠移植治疗食管癌术后颈部食管结肠吻合口瘘[J].青岛大学医学院学报,1988(2).
作者姓名:张岩峰  林乐胜  沈毅  邹云文  李爱玉
作者单位:青岛医学院附院心胸外科 (张岩峰,林乐胜,沈毅),青岛医学院附院骨科 (邹云文),青岛医学院附院骨科(李爱玉)
摘    要:采用游离空肠移植术,修复2例食管癌术后颈部食管结肠吻合口瘘患者获得成功。根据吻合口瘘的具体情况,对吻合口小部分脱裂者,宜采用补片形式;对吻合口大部分脱裂、连接处范围很小者,先切断连接处,再进行空肠段移植。吻接血管是手术成功的关键。

关 键 词:食管肿瘤  移植  自体  空肠  显微外科手术

FREE JEJUNAL GRAFTING IN THE TREATMENT OF CERVICAL ANASTOMOTIC LEAKAGE FOLLOWING ESOPHAGO-COLOSTOMY OF ESOPHAGEAL CARCINOMA
Zhang Yanfeng,et al.FREE JEJUNAL GRAFTING IN THE TREATMENT OF CERVICAL ANASTOMOTIC LEAKAGE FOLLOWING ESOPHAGO-COLOSTOMY OF ESOPHAGEAL CARCINOMA[J].Acta Academiae Medicinae Qingdao Universitatis,1988(2).
Authors:Zhang Yanfeng  
Institution:Zhang Yanfeng,et al Department of Surgery
Abstract:Free jejunal grafting was successfully performed by our department on 2 patients to repair the cervical anastomotic leakage following esoph- ago-colostomy of esophageal carcinoma. The results of the treatment were gratifying. Patch method was adopted for small leakage, while in the case of a larger one, the anastomosis was completely separated and then free jejunal grafting was done. Anastomosis of blood vessels played a decisive role in the successful performance of the operation.
Keywords:Esophageal neoplasms  Transplantation  autologous  Jejunum  Microsurgery
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