摘要
作者近１０年来，对５２８例食管贲门癌患者于肿瘤切除术后采用邻近组织（甲状腺侧后被膜、主动脉弓上三角区胸壁或下肺韧带）掩盖食管胃吻合口，取得良好效果。作者认为这种方法有利于吻合口的愈合，可以防止吻合口瘘和狭窄的发生。
AbstractThe nearby tissues were used to cover theesophagogastric anastomotic stoma in 528 patients withesophageal and cardiac cancer undergoing resection.After interrupted suturing of the whole layer of esoph-agus and stomach,the paracervicalis was anasto-mosed with the capsule of the thyroid gland tostrengthen the anterior wall of the anastomotic stoma.In case the anastomosis is done aIove the archdaorta,a flap of pedicled plewa is produced to cover the upperfrigonum. The lower ligamentum pulmonale was usedto coner the anastomosis when it is performed subaoti-olly. No anastomotic leakage and stenosis were found in528 patients in the follow-up of 2～5years.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1995年第8期461-462,共2页
Chinese Journal of Surgery
