摘要
采用空肠系膜血管吻合,施行空肠移植术修复各种类型的食管胃缺损18例。其中2例采用甲状腺上动脉与肠系膜动脉吻合,16例采用颈横动脉与肠系膜动脉吻合,全组18例均采用颈外浅静脉与肠系膜静脉吻合。带蒂空肠移植7例,游离空肠移植10例,游离空肠片移植1例。全组无手术死亡。文中就手术适应证及手术技术进行了讨论。
Eighteen cases of various type of esophageal defects underwent repair with jejunum autotransplantation and vascular anastomosis.The mesenteric artery was anastomosed to the left cervical transverse artery in 16 cases,to left superior thyroid artery in 2.The mesenteric vein was connected to external jugular vein in 18 cases.Vascular anastomosis was done to supply additional blood to the jejunum segment with mesentery pedicle in 7 cases,to the isolated jejunum in 10,to the isolated jejunum piece in 1. All the autotransplanted jejunum survived.There was no 30 days post-operative mortality in this series.The indications for operation and surgical technique were discussed.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1995年第1期4-5,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
食管胃缺损
血管吻合
空肠移植
Esophago-gastric defect
Vascular annastomosis
Jejunum autotransplantation