论文部分内容阅读
目的:探讨胃大部切除术后食管癌外科治疗方法和疗效。方法:对10例胃大部切除术后食管癌患者将残胃充分游离后连同脾脏、胰尾一并移入左胸腔,实施食管-残胃吻合术;其中主动脉弓上吻合8例,主动脉弓下吻合2例,均采用器械吻合。结果:本组手术顺利,术后无严重并发症发生,无住院期间死亡病例;术后随访1,3,5年生存率分别为100%,40%和10%。结论:对胃大部切除术后食管癌患者采取残胃及脾脏、胰尾移入胸腔,实施食管-残胃吻合术,可保留胃的消化功能和消化道正常解剖结构,具有手术操作简单、创伤小、手术时间短、并发症少的优点。
Objective: To investigate the surgical treatment and efficacy of esophageal cancer after subtotal gastrectomy. Methods: 10 cases of esophageal cancer patients after subtotal gastrectomy were completely free residual stomach, together with the spleen and pancreatic tail into the left chest, the implementation of esophageal - gastric remnant anastomosis; which aortic arch anastomosis in 8 cases, aortic arch anastomosis 2 Cases, are using device fit. Results: The surgery was successful and no postoperative complications occurred. There were no deaths during hospitalization. The 1-, 3-, and 5-year follow-up rates were 100%, 40% and 10%, respectively. Conclusions: The patients with esophageal cancer who underwent subtotal gastrectomy were treated with residual stomach and spleen, and the tail of pancreas was moved into the thoracic cavity. Esophageal-gastric residual anastomosis was performed. The digestive function of the stomach and the normal anatomy of the digestive tract were preserved. The operation was simple and traumatic Small, short operative time, fewer complications.