食管全层胃粘膜吻合术治疗贲门癌112例报告

Surgical Treatment of Cardial Carcinoma by Esophagogastric Mucosa Anastomosis(A report of 112 cases)

目的探讨预防贲门癌术后食管胃吻合口瘘、狭窄及返流性食管炎，降低手术死亡率提高术后生活质量的手术方法。方法采用回顾性调查方法，对采用食管全层胃粘膜吻合术治疗的１１２例患者进行随访，观察其并发症。结果手术治疗１１２例贲门癌，无一例发生吻合口并发症。上消化道钡餐示吻合口直径均大于１．３ｃｍ，头低位未见钡剂返流。胃镜提示吻合口通畅，未发现食管炎。结论本方法操作简单，效果良好。

Objective To prevent severe complications after the radical resection of cardial carcinoma,such as anastomotic leakage in esophagogastric mucosa, esophagostenosis and reflux esophagitis,and thus reduce the postoperative mortality. Methods 3.0 cm of gastric serosa were peeled off and then the esophagogastric mucosa was anastomosed and invaginated into the stomach.Rasults No complication of anastomotic stoma was found in 112 surgically treated patients. The barium meal examination showed no barium reflux and that all anastomotic stomas were greater than 1.3 cm in diameter.At the same time,a stomachoscopic study showed an unobstructed esophageal mucosa and no esophagitis. Conclusion This method provides a better condition for anastomosis.