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1991年11月至1992年7月,在食管癌手术中,作者采用管状胃代食管行主动脉弓上、弓后及颈部食管胃吻合共21例,介绍如下。 一般资料:男性19例,女性2例,年龄39～69岁,平均56岁。其中中上段食管癌10例,中下段食管癌9例,食管良性狭窄1例。胸骨后胃颈部食管胃吻合10例,弓上吻合2例,弓后吻合9例。 管状胃制做法:食管癌切除胃游离后对胃应仔细处理,包括胃小弯神经血管束切断及贲门扩大切除。助手握胃体,术者指捏小弯侧神经血管束,尽量与小弯垂直方向展平,术者从
From November 1991 to July 1992, in the esophageal cancer surgery, the authors used a tubular gastric esophagus to perform aortic arch, posterior arch, and cervical esophagogastric anastomosis in 21 cases, as described below. General information: 19 males and 2 females, aged 39-69 years, mean 56 years old. There were 10 cases of middle and upper esophageal cancer, 9 cases of middle and lower esophageal cancer, and 1 case of benign esophageal stricture. There were 10 cases of esophagogastric anastomosis in the posterior sternum, and 2 cases in anastomosis on the arch and 9 cases in the posterior arch. Tubular gastric practice: After esophagectomy for resection of the stomach, the stomach should be carefully treated, including the cutting of the gastric stenosis and expansion of the cardia. The assistant holds the body of the stomach and the surgeon refers to the small curved side of the neurovascular bundle and tries to flatten the vertical direction with the small curve.