贲门癌切除食管胃斜口吻合术——附140例分析

RESECTION OF CARCINOMA OF ESOPHAGUS AND GASTRIC CARDIA WITH OBLIQUE ESOPHAGOGASTROSTOMY——Analysis of 140 Cases

在贲门癌的治疗上,占80％的晚期病例的外科治疗是一个难题。为了提高手术切除率,降低并发症率和手术死亡率,作者设计了贲门癌切除、食管残胃斜口吻合的手术方法,试图解决晚期病例的手术治疗。从1984年1月至1988年4月共手术切除140例,手术切除率达到87.5％,手术并发症率占2.85％,无吻合口痿和手术死亡。取得了较好的近期效果。

Clinically, the treatment of the advanced cases (about 80 % ) of cancer of gastric cardia is a difficult problem. In order to raise the excision rate and ruduce the mortality and complications, we have designed a method of 'oblique esophagogastromy' to solve this problem and used it in 140 cases from January . 1984 to April, 1988. The excision rate was 87.5%, complication rate was 2.8%, no death and anastomotic leakage was happened. The short-term result was good.