论文部分内容阅读
目的： 探讨食管癌切除两种不同重建方法的优劣。方法： 通过对２３０ 例食管中段癌切除后，在胸顶部以上（ 超胸顶组） 用吻合器行食管胃吻合１６０ 例、颈部手工吻合（ 颈部组）７０ 例重建消化道的对比研究。结果： 两组在食管切除长度、吻合口瘘、食管上切缘癌残留及总体死亡率方面均无显著差异（ Ｐ＞ ０ ．０５） ，而在手术时间、减轻手术损伤、减少吻合口狭窄的发生率方面，超胸顶组明显优于颈部组（ Ｐ＜ ０ ．０５） 。结论： 超胸顶食管胃吻合器吻合可作为食管中段癌切除后的理想重建方式
Objective: To explore the advantages and disadvantages of two different reconstruction methods for esophageal cancer resection. Methods: A total of 160 cases of esophagogastric anastomosis were performed at the top of the chest (superthoracic group) after resection of 230 cases of esophageal cancer, and 70 cases of manual neck anastomosis (neck group) were used to reconstruct the digestive tract. RESULTS: There was no significant difference in the length of esophagectomy, anastomotic leakage, residual cancer at the upper margin of the esophagus, and overall mortality (P > 0.05), but at the time of surgery, reduction of surgical injury, and reduction of anastomotic stenosis. Incidence rate, the superior chest group was significantly better than the neck group (P <0. 05). Conclusions: Anastomosis with a super-thoracic esophagogastrostomy can be used as an ideal reconstruction method for the resection of middle esophageal carcinoma