摘要
[目的]探讨272例食管贲门癌术后吻合口瘘发生的原因及减少其发生的措施。[方法]回顾分析近年经治的272例食管贲门癌术后发生吻合口瘘的病人术前状态 ,围术期处理及手术方式 ,探讨相关因素。[结果]全组272例食管贲门癌手术后并发生吻合口瘘15例(发生率5 5%) ,其中颈部吻合口瘘6例 ,胸部吻合口瘘9例 ,死亡2例(瘘死亡率13 3 %)。患者营养状态及手术操作与吻合口瘘发生密切相关。[结论]重视手术操作规范技巧 ,合理的围手术期处理是预防食管贲门癌术后发生吻合口瘘的关键所在。
To study the causes of postoperative anastomotic leak in carcinoma of esophagus and cardia and to search the way of reducing this complicationTwo hundred and seventytwo cases with carcinoma of esophagus and cardia undergoing surgical treatment were analyzed retrospectivelyOf the 272 cases,15 cases postoperative leak(55%) with 2 death were foundThe cause of this complication related to surgical skill and nutrition condition of the patients[Conclusions]Formal surgery and rational perioperative care are the key in prevention of postoperative anastomtic leak
关键词
食管肿瘤
贲门肿瘤
吻合口瘘
预防
外科手术
esophageal neoplasms
cardia neoplasms
anastomosis
leak
prevention
surgery
