舌状浆肌瓣覆盖－食管胃粘膜吻合术1515例效果观察

EVALUATION OF ANASTOMOTIC EFFECT WTTH ESOPHAGOGASTROSTOMY COVERED BY TONGUE-LIKE SERO-MUSCULAR FLAP OF GASTRIC WALL IN 1515 CASES

舌状浆肌瓣覆盖－食管胃粘膜吻合术已实行１５１５例。男９４０例，女５７５例，全部病例为中段和下段食管鳞状细胞癌，均行主动脉弓上吻合，实行同样吻合技术。手术死亡率为０．０７％。吻合区瘘发生率为０．３３％，术后半年至三年，未发现吻合口狭窄和返流性食管炎。该吻合技术的“三防”效果满意，提高了手术效果和术后生活质量。

AbstractEsophagogastrostomy covered by tongue-like sero-museular flap of gastric wall has alreadybeen performed in 1515 cases with esophageal cancer of middle or lower third segment over the last three years. All cases were of squamous cell carcioma.The same anastomotic procedure was done in all cases by authors in different hospitals. In this series the operative mortality was 0.07%, therewere 5 anastomotic leak(0.33%),and no anastomotic stricture and reflux esophagitis happened with-in 6 months to 3 years after surgery.The operative procedure is described again in detail.The au-thors believe that this new anastomotic procedure is satisfactory and prospectively beneficial for improving the therapeutic effect and patients’living quality afler operation.