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为探讨食管肿瘤、贲门癌行肿瘤切除后 ,胃重建食管时食管胃吻合技术 ,以预防吻合口瘘及狭窄的发生。采用Gambee单层吻合法及全层间断单层吻合法相结合。结果采用此法吻合的 16 8例患者死亡率仅 0 6 % ,吻合口瘘发生率 1 2 % ,无吻合口疤痕狭窄病例。结论认为此吻合法适用于食管胃吻合术 ,特别适用于贲门癌胃切除较多的弓下食管胃吻合术及食管癌切除食管胃颈部吻合术 ,有推广价值
To investigate esophageal cancer and cardiac cancer after resection of the tumor, esophagogastric anastomosis was performed during gastric reconstruction of the esophagus to prevent anastomotic leakage and stenosis. Gambee single-layer anastomosis and full-thickness single layer anastomosis were combined. Results The mortality of 168 patients matched with this method was only 0.6%, and the incidence of anastomotic leakage was 12%. There was no case of anastomotic scar stenosis. Conclusions This anastomosis method is suitable for esophagogastric anastomosis. It is particularly suitable for gastrostomy and gastrectomy for bowel cancer and esophageal-gastric neck anastomosis for esophageal cancer.