食管癌切除胃置纵隔位颈部胃食管吻合20例体会

The understanding 20 cases of gastroesophageal anastomosis after resection of esophageal carcinoma

目的探讨食管癌切除胃置纵隔位颈部胃食管吻合的手术方法及效果。方法对住院手术治疗的20例食管癌患者的临床资料进行回顾性分析总结。结果术后2例发生颈部吻合口瘘,经局部换药短期内瘘口愈合,2例发生喉返神经损伤,无心肺并发症和死亡。术后存活2年达70%,存活4年达30%。3个月后进食基本正常。结论对于食管癌患者的手术操作,尽量采用创伤小,减轻心肺干扰,降低术后并发症的发生,达到根治效果,提高术后远期疗效的方法。

Objective To explore the operation method and effect of gastroesophageal anastomosis in stomach cervix in mediastinum during esophageal carcinectomy. Methods The date of 20 patients with esophageal carcinoma who accepted operation therapy were analyzed rertrospectively. Results 2 stoma leakage happened and the orificium fistulae heal up in a short time after change dressings. laryngeal nerve injured in another 2 patients. No cardiopulmonary complications and deaths happened .70 percent of the patients had 2 years survival and 30 percent of the patients had 4 years survival. There were normal dining for all patients three months later. Conclusion We should try our best to practice the operation method with less trauma for the patients with esophageal carcinoma, in order to alleviate the cardiopulmonary interference , reduce the complications ,increase effect of therapy and improve the long-term effect of operation.