经左胸切口颈吻合治疗胸中上段食管癌

目的：总结１４８例胸中上段食管癌切除、颈部食管胃吻合的经验。方法：经左胸后外侧切口，切除全胸段食管，胃经食管床上提颈部与颈段食管吻合。其中２３例采用新的吻合方法：３－０ｐｒｏｌｅｎｅ单层连续缝合法做食管胃吻合。结果：无吻合口瘘发生，早期病例吻合口狭窄５例。结论：全胸段食管切除保证了最大限度的切除食管癌灶。单层连续缝合法省时快捷，食管胃吻合口各层组织对合好，接触面积大，减少吻合口瘘狭窄的发生机会；缩

Transchest Approach and Cervical Esophagastric Anastomosis for Treatment of the Upper and Middle Segment of the Esophageal Carcinoma

Objective:To review the exprience of the upper and middle segment of the esophageal carcinoma resection and cervical esophagastric anastomosis in 148 cases. Methods: From Jan 1991 to Dec 1997, 148 patients were performed with transchest approach to resected the total thoracic segment esophagus and cervical esophagastric anastomosis. During 1997,the author adopts a new anastomotic technique that is a single line continual suture with 3-0 prolene for esophagastric anastomosis in 23 patients. Results: At earlier stage there were five anastomotic stenosis but no anastomotic fistula. Conclution:The resection for total thoracic segment of the esophagus can get the radical operation.The single line continual suture with 3 - 0 prolene is good for esophagastric anastomosis which can shorten operating time,avoid anastomotic fistula or stenosis,and causes less disturbanc of cardiopulmonary functions.