胃管状成形术在三切口食管癌切除术中的应用

目的探讨胃管状成形术在三切口食管癌切除术中的应用价值。方法对120例食管癌常规经颈胸腹三切口切除术中行胃管状成形术。结果术后声音嘶哑2例,谵妄2例,吻合口狭窄1例,无吻合口瘘、胸胃综合征及明显返流性食管炎等并发症,均顺利康复出院。结论经颈胸腹三切口食管癌切除术中行胃管状成形术,使胃扩张受限,可减轻胸胃潴留所致压迫症状及返流性食管炎;胸胃延长,张力减轻,使吻合区胃组织的供血相应增加,亦能减少吻合口瘘的发生。

The use of construction of gastric tube in operation of esophageal carcinoma through 3 incisions

Objective To analyse the value of construction of gastric tube in operation of esophageal carcinoma through 3 incisions.Methods Construction of gastric tube was used in operation of esophageal carcinoma through cervical,right thorax and abdominal incisions in 120 patients.Results Two cases,2 cases and 1 case manifested respectively postoperative throatiness,delirium and anastomotic narrowing.There were no complications of anastomotic leakage,the syndrome of thoracic stomach,and peptic esophagitis.Conclusion The expansion of gastric tube is limited,which reduces the symptoms caused by the oppression from thoracic stomach and peptic esophagitis.This technique provides a long gastric tube,which allows the anastomosis to be performed at a tension-free anastomotic line with good blood flow in the gastric tube.Therefore,anastomotic leakage is significantly decreased.