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本文报道17例晚期食管癌应用显微外科技术,以空肠代食管转流术解决了病人经口进食困难,改善了营养状况,提高了生活质量.取近端空肠50cm,经胸骨前或胸骨后隧道上提至颈部,空肠上端的血管与颈部的动、静脉吻合,空肠下端的血管与胃网膜右血管吻合重建血供,恢复消化道的连续性.术后第3天患者可进流食,第10天进普食,第2周进行化疗.
This article reported 17 cases of advanced esophageal cancer using microsurgical techniques, jejunal esophageal bypass surgery to solve the patient’s oral feeding difficulties, improve the nutritional status and improve the quality of life. Take the proximal jejunum 50cm, and pass it through the front of the sternum or the back of the sternum to the neck. The upper jejunum of the jejunum is anastomosed to the neck and veins. The blood vessels at the lower end of the jejunum are anastomosed with the right gastroesophageal vessels to restore blood supply and restore the digestive tract. Continuity. On the third postoperative day, the patient was allowed to ingest liquid food, and on the 10th day, he was given general food. On the 2nd week, chemotherapy was performed.