食管贲门癌切除术黏膜层单层吻合法疗效分析

Analysis of therapeutic effectiveness of resection of cardiac carcinoma and anastomosis of single layer of mucosa

目的 探讨食管、胃及空肠黏膜单层吻合法预防吻合口瘘、吻合口狭窄及返流性食管炎的效果。方法 1996年3月-2002年8月手术治疗食管癌235例,贲门癌195例,采用食管-胃及空肠黏膜延长、黏膜单层缝合法。结果 术后10 d X线吞钡照片示钡剂通过顺畅,吻合口直径1.5-2 cm。术后随访1年,吞咽顺利,未见吻合口狭窄。结论 该术式吻合口径宽,对预防吻合口瘘、狭窄及返流性食管炎效果显著,是食管及胃肠吻合较为理想的方法。

Objective To evaluate the single mucosa anastomosis to prevent the anastomotic leakage, anastomotic stenosis and reflux esophagitis in esophageal gastric and jejunal operations. Methods 235 patients with esophageal carcinoma and 195 patients with cardia carcinoma undergoing the single mucosa anastomosis from March 1996-Angust 2002 were summarized. Results Each of the cases had a esophagography 10 days after operations and it was found that barium could pass the anastomosis smoothly. The diameter of anastomosis ranged from 1. 5 cm to 2.0 cm. All patients were followed-up for 1-1 .5 years and anastomotic stricture was not found in all cases. Conclusion This procedure gives a wide diameter of anastomosis.It can prevent the anastomotic leakage, anastomotic stenosis and reflux esophagitis effectively. It is a good method for esophageal, gastric and jejunal anastomosis.