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目的 :评价在手术治疗食管癌、贲门癌中单层宽边间断吻合胃食管应用效果。方法 :回顾性分析了 1994年 5月以来6 4 2例胃食管单层宽边间断吻合法在胃食管吻合中的应用 ,将其胃食管吻合瘘发生率、胃食管吻合口狭窄发生率及胃食管返流的情况与常规的胃食管套入吻合法进行了比较 ,并分析了产生结果的原因。结果 :应用单层宽边间断吻合法明显降低了胃食管吻合口瘘的发生率 ,所有患者无吻合口狭窄表现 ,也未出现严重的胃食管返流。结论 :胃食管单层宽边间断吻合法是一种简单实用并且可靠的胃食管吻合方法
Objective: To evaluate the effect of intermittent single-breasted wide-side anastomosis on gastroesophageal cancer in surgical treatment of esophageal and cardia cancer. Methods: A retrospective analysis of 642 cases of gastroesophageal anastomosis between gastroesophageal anastomosis and gastroesophageal anastomotic stenosis in gastroesophageal anastomosis was retrospectively analyzed. Esophageal reflux was compared with conventional gastric esophageal anastomosis and the reasons for the outcome were analyzed. Results: The application of single-layer broadside discontinuous anastomosis significantly reduced the incidence of gastroesophageal anastomotic leakage. All patients had no anastomotic stenosis and no severe gastroesophageal reflux. Conclusion: Gastroesophageal unilateral broadside intermittent anastomosis is a simple and practical and reliable gastroesophageal anastomosis