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目的 探讨胃大部切除术后食管癌、贲门癌 2 2例的外科治疗方法。方法 食管癌、贲门癌切除后的消化道重建的方式 :食管残胃吻合术 6例 ,空肠移植食管重建术 8例 ,结肠移植食管重建术 2例 ,空肠代胃术 6例。结果 全组病例均恢复顺利 ,1例并发吻合口瘘 ,无手术死亡。结论 在胃大部切除术后食管癌、贲门癌的外科治疗中应根据患者的不同情况选择相应的消化道重建术。残胃可通过胃空肠吻合口获得充足的血供 ,因此 ,食管残胃吻合术可作为消化道重建的重要方式之一。
Objective To investigate the surgical treatment of 22 cases of esophageal and cardiac cancer after subtotal gastrectomy. Methods of esophageal and gastric cardia resection of the digestive tract reconstruction of the way: esophageal residual gastric anastomosis in 6 cases, jejunal reconstruction of esophageal reconstruction in 8 cases, 2 cases of colon transplantation in esophageal reconstruction, 6 cases of jejunal on behalf of the stomach. Results All the patients recovered well. One patient had anastomotic fistula without any operative death. Conclusion In the surgical treatment of esophageal and cardia cancer after subtotal gastrectomy, the corresponding gastrointestinal reconstruction should be selected according to the patients’ different situations. Residual stomach through the gastrojejunostomy to obtain adequate blood supply, therefore, esophageal stump anastomosis can be used as one of the important ways of gastrointestinal reconstruction.