应用《食管瓣成形—食管胃套接》法手术治疗食管癌与贲门癌

TREATMENT OF ESOPHAGEAL AND CARDIAC CANCER BY ESOPHAGUS VALVULOPLASTY AND GASTROESOPHAGOSTOMY

自１９８８年至１９９３年我科对６０例食管与贲门癌病人，采用食管瓣成形—食管胃套接法进行手术治疗。手术切除肿瘤后行颈部吻合９例；弓上吻合２３例，弓下吻合２８例。术后无吻合口瘘，随访中无吻合口狭窄病例。并就此术式对防止吻合口瘘、狭窄及术后胃内容物返流等进行讨论。

rom 1988 to 1993 sixty cases of esophageal and cardiac carcinoma weretreated surgically by radical resection and esophageal valvuloplasty and gastroe-sophagostomy. After resection of the tumor esophagogastral anastomosis wasperformed in the cervical region in nine cases. Twenty-three cases were abovethe aortic arch and twenty-eight cases were inferior to the aortic arch. No anas-tomotic leakage or anastomotic stricture happened postoperatively. The articlediscussed the above mentioned two problems as well as gastroesophageal refluxwhich happened in five cases in this series.