食管床全胃移植颈部吻合治疗食管中上段癌──附30例报告

本文报导我院自１９８５年１２月至１９９３年８月，经食管床全胃移植颈部吻合治疗食管中上段癌３０例。收到较好的效果。肿瘤位于食管中段１６例，上段１４例，病变长度４～２１厘米，右侧开胸１２例，左侧开胸１６例，非开胸食管内翻拔脱术２例，吻合口狭窄１例。呼吸衰竭及痰阻塞窒息各１例，均死亡。手术死亡为６．６％。本文讨论了，手术方法改进及本术式优点，还对颈部吻合口瘘；肺部并发症；吻合口狭窄及乳糜胸等预防提出了作者的看法。

Total Stamach Transplantation Cerical Esophagogastrostomy in Esophageal Bed To Treat Middle And Upper Esophageal Carcinoma:a report of thirty cases.

This essay is about 30 cases of esophageal carcinoma, which are treated by total stomach transplantationin esophageal bed and cervical esophagogastrostomy,since December,1985 to August, 1993 in our hospital. The curative effect is good.There are 16 cases of middle esophageal carcinoma and 14 cases of upper one,the length of tumors varies from 4cm to 21cm,12 cases are right thoracotomyand 16 cases are left one, 2 cases are non-thoracotomy inversion removed.Postoperative complications:two cases of anastomotic leakage one case of chylothorax,one case of anastomotic stenosis,one case of respiration failure and one case of asphyxia of sputum obstraction,two cases were dead.The death rate of operative patient is 6. 6%.This report discusses the advantage of this operationmanner and the improvement of operative method.It also advances the author's viewpoint about prevention these postoperative complications,such as anastomotic leakage,anastomotic stenosis,chylothoraxand pulmonary complications etc.