食管胃三层套入吻合法在食管贲门癌手术中的应用

The study of gastro-esophagusthree-tier embolia anastomosis in carcinoma of esophago cardia

目的探讨食管胃三层套入吻合法预防食管贲门癌术后吻合口瘘、狭窄和返流性食管炎的效果。方法采用胃黏膜对食管黏膜、胃浆肌层对食管肌层、胃浆肌层对胸膜或颈肌的三层套入吻合法治疗胃贲门癌178例、食管癌120例。以同期采用胃食管全层吻合治疗的胃贲门癌112例、食管癌98例为对照组进行对比析。结果术后吻合口瘘、狭窄和返流性食管炎发生率治疗组分别为0.38%、0.38%和0.77%,对照组分别为1.42%、4.76%和4.28%,两组差异均有统计学意义(均P<0.05)。结论本吻合法在食管、贲门癌手术中的应用对预防术后吻合口瘘、狭窄和返流性食管炎有显著作用。

Objective To evaluate result of invaginative esophagogastroanastomosis to prevent the leakage, anastomotic stenosis and reflux esophagitis in esophagectomy. Methods A method of invaginative esophagogastroanastomosis with esophageal mucus to gastric mucus and gastric seromuscular to esophagic nuscular were done in 148 eases cardiac cancer and 120 cases esophageal cancers. Gastro-esophagus full-thickness anastomosis were done in the control group including 112 cases cardiac cancer and 98 cases. Standardized rate and standard error toanalysis the date were adopted. Results It had significant difference between the two groups. Conclusion This anastomosis could avoid the esophagogastroanastomotic leakage, anastomotic stenosis and reflux esophagitis effectively.