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在食管癌切除术中,最常采用的消化道重建方式是食管胃吻合,为了避免食管与胃扭转吻合,我们在游离完胃而未离断之前,用小圆针1号丝线沿胃窦前壁纵轴向下间断浆肌层穿针带线达十二指肠球部以下,将线留置作指示线。这样,在断胃上提时,即可以此为标志,避免胃体扭转,一旦扭转可及时发现,立即复位。
In the resection of esophageal cancer, the most commonly used way of digestive tract reconstruction is esophageal gastric anastomosis. To avoid anastomosed esophagus and gastric torsion, we use the small round needle 1 silk thread along the gastric antrum before disengaging the stomach without dissociation. The vertical axis of the wall was interrupted downwards and the pulp muscles were threaded below the duodenal bulb and the line was left as the indication line. In this way, when the stomach is lifted, it can be used as a sign to avoid the torsion of the body. Once it is reversed, it can be found in time and reset immediately.