摘要
目的探讨模拟生理状态下贲门胃底结构,行贲门癌切除食管胃吻合术的新方法以减少术后并发症。方法常规游离食管下段、胃,于病变下缘5cm处用闭合器斜形全部关闭胃残端。距胃顶部4～6cm处造口,行食管胃粘膜端侧吻合术,吻合口上方形成的胃底固定于食管肌层及胸膜上,His角形成。结果120例术后进普食感觉良好,无吞咽及进食后不适。患者能进普食。结论贲门癌切除贲门胃底重建术可有效地减少吻合口并发症,提高生存质量。
Objective To explore new way of esophagogastroanastomosis for patients with cardiac cancer, this way modeling the physiological construction of cardia and gastric fundus,so as to decrease the postoperation complications. Methods The operator disolated inferior segment of esophagus and gastro routinely,closed whole gastric stump obliquely by occluder at the point 5cm from the tumor inferor margin,made anastomosis stoma apart from the top of gastro 4 - 6cm, then made esophagogastric mucosa anastomosis. The gastric fundus which formed above anastomosis stoma was seamed on tunica muscularis esophagi and pleura,so that the His angle was construction. Results 120 patients felt well when eating common food after operation, no indisposition when swallowing and after taking food. Conclusion The way of cardic and gastric fundus reconstrution after cardiectomy is an effective method to decrease the complication of esophagogastric anastomosis stomach,and improve the postoperative life quality of the patients.
出处
《中国现代医生》
2008年第25期6-7,共2页
China Modern Doctor
关键词
胃肿瘤
食管胃吻合术
胃食管反流
Stomach neoplasms
Esophagogastrostomy
Gastroesophageal reflax
