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食管切除术后,胃是食管重建术中食管代替品的第一选择,不能使用胃的患者则选用结肠和空肠进行重建。有研究显示,结肠间置有较高的吻合口漏发生率和死亡率。Iwata等人从手术治疗的安全性考虑,对不能使用胃来代替食管的食管癌患者采用了增压前胸带蒂空肠重建术,为了总结这一技术的经验,他们对2003~2009年期间施行该手术的27例患者的临床资料进行了回顾性分析。结果:平均手术时间、失血量、住院时间以及肠内营养时间分别是636 min、580 mL、27 d和80 d,无
After esophagectomy, the stomach is the first choice for esophageal replacement in esophageal reconstruction, and patients who can not use the stomach are colon and jejunal for reconstruction. Studies have shown that there is a high incidence of anastomotic leakage and mortality among the colon. Iwata and others from the safety of surgical treatment, can not use the stomach instead of esophageal esophageal cancer patients with pre-emptive booster pedicle jejunal reconstruction, in order to summarize the experience of this technology, they were implemented during 2003 ~ 2009 The surgical data of 27 patients were retrospectively analyzed. Results: The average operation time, blood loss, hospital stay and enteral nutrition time were 636 min, 580 mL, 27 d and 80 d, respectively