颈部食管胃粘膜延长单层吻合术1032 例疗效观察

在1032例上、中段食管癌根治术中采用食管胃粘膜延长单层吻合术，术后仅发生颈部吻合口瘘9例（0．8％），吻合口狭窄6例（0．6％），手术效果满意。认为采用食管胃吻合口粘膜各延长0．6cm，然后行食管胃单层吻合术，可使食管胃吻合口坚韧的粘膜下层密切接触，对缝线的支持力强，缝线不易撕脱，吻合口组织对合严密，无过度组织内翻，吻合后腔内外光滑，是能明显减少颈部吻合口瘘和狭窄的较为理想的手术方法。

Esophagogastrostomy with mucosa prolongation and monolayer anastomosis: report of 1032 cases

Esophagogastrostomy with mucosa prolongation and monolayer anastomosis was used in 1032 cases with carcinoma of esophagus on the middle or upper segments in the radical operation. After operation, the neck anastomotic fistula accurred in 9 cases (0.8%) and the anastomotic stenosis in 6 cases (0.6%). It was thought that prolonging the esphagogastric mucosae 0.6 cm and performing the monolayer esophagogastrostomy would be helpful to fully use the submucous layer. The tissue at the anastomotic stoma could be identified closely and the excess tissue inversion wouldn't exist. After anastomosis, the intra and extea cavities would be smooth. The neck anastomotic fistula and stenosis reduced remarkably