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单层或双层食管胃颈部吻合术治疗食管癌50例
引用本文:酒育红,于小瑞,王升旗,吴小波,茹晋.单层或双层食管胃颈部吻合术治疗食管癌50例[J].中国现代手术学杂志,2011,15(5):360-361.
作者姓名:酒育红  于小瑞  王升旗  吴小波  茹晋
作者单位:山西省阳城县中医院外科,阳城,048110
摘    要:目的比较两种吻合技术行食管胃颈部吻合的临床效果。方法因食管癌行食管次全切除、食管胃颈部吻合术共50例,其中采用双层吻合法34例,单层吻合法16例。结果双层吻合法的吻合口瘘发生率为23.5%(8/34),单层吻合法的吻合口瘘的发生率为6.2%(1/16)。两组病人均无吻合口狭窄。结论总之,单层吻合法较双层吻合法减少了手术步骤,缩短了手术时间,减少了吻合口瘘的发生率,值得在食管癌切除术后颈部食管胃吻合中应用。

关 键 词:食管肿瘤    狭窄  吻合口

Single-or Double-layer Esophagogastric Anastomosis of the Cervical Esophagogastrostomy for the Treatment of Esophageal Carcinoma ( A Report of 50 Cases)
JIU Yu-hong,YU Xiao-rui,WANG Sheng-qi,WU Xiao-bo,RU Jin.Single-or Double-layer Esophagogastric Anastomosis of the Cervical Esophagogastrostomy for the Treatment of Esophageal Carcinoma ( A Report of 50 Cases)[J].Chinese Journal of Modern Operative Surgery,2011,15(5):360-361.
Authors:JIU Yu-hong  YU Xiao-rui  WANG Sheng-qi  WU Xiao-bo  RU Jin
Institution:JIU Yu-hong,YU Xiao-rui,WANG Sheng-qi,WU Xiao-bo,RU Jin(Department of General Surgery,the Traditional Chinese Medicine Hospital of Yangcheng,Yangcheng 048110,Shanxi,China)
Abstract:Objective To compare the clinical results of two techniques of anastomosis for esophagogastrostomy.Methods Subtotal esophagectomy and cervical esophagogastrostomy were performed in 50 cases from January 1999 to December 2010.Subtotal esophagectomy was accomplished via the left thoracic incision and left cervical incision.And the gastro was drawn through the mediastinum and exteriorized in the cervical incision for the esophagogastrostomy.The hand-sewn anastomosis was performed a double-layer suture(Group A)...
Keywords:esophageal neoplasms  fistula  stenosis  stomas  
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