论文部分内容阅读
目的：探讨食管胃颈部“套入式”吻合对预防吻合口瘘及狭窄的作用。方法：在管状胃壁的最高点剪除“△”形胃壁组织，使其口径大于食管残切端口径。将吻合口套入胃腔内。结果：用此方法完成食管胃颈部吻合２０例，未发生吻合口瘘，也未发生吻合口狭窄。结论：食管胃颈部“套入式”吻合对预防吻合口瘘、吻合口狭窄及抗返流均有很好的效果。
OBJECTIVE: To investigate the role of “sleeve-in” anastomosis in the esophagogastric neck in preventing anastomotic leakage and stenosis. Methods: The “△” shaped stomach wall tissue was cut off at the highest point of the tubular stomach wall so that its caliber was larger than the diameter of the esophageal residual port. Place the anastomosis into the stomach cavity. Results: Twenty patients with esophagogastric neck anastomosis were completed by this method. No anastomotic leakage or anastomotic stenosis occurred. Conclusion: The “sleeve-in” anastomosis of the esophagogastric and cervical canal has a good effect on prevention of anastomotic leakage, anastomotic stenosis and anti-reflux.