“浆肌瓣式”食管胃吻合术预防贲门癌术后并发症的临床研究

Clinical study of “seromuscular flap method” esophagogastrostomy on prevention against postoperative complications in patients of carcinona of gastric cardia.

目的：探讨降低贲门癌切除后吻合口漏、吻合口狭窄和返流性食管炎的发生率。方法：自行设计了食管胃浆肌层瓣套入式吻合（“浆肌瓣式”） 治疗贲门癌并完成８４ 例，与常规食管胃套入式吻合（“套入式”） 治疗贲门癌２１２ 例进行对比研究。结果：经统计学处理表明“套入式”并发症发生率明显高于“浆肌瓣式”（ Ｐ＜ ０ ．０１） 。结论：作者认为“浆肌瓣式”吻合对预防吻合口漏、吻合口狭窄和返流性食管炎有良好的作用。

Objective:To solve the problems of anastomotic leakage,anastomotic strictnre and reflux esophagitis after resetion of carcinoma of gastric cardia.Methods:The authors cesigned a new anastomotic technique anastomosis of esophagus and gastric mucosa with seromuscular flap invaginted(“seromuscular flap method”),and 84 patients were tread.Meanwhile other 212 patients were treated using the routine invaginated esophagogastrostomy(“invagination method”).The incidence rates of the three complications were statistioally analyzed.Results:Incidence rates of complications in “invagination method”were significantly higher than the “seromuscular flap methop”.Conclusions:The mew anastomosis technique of “seromuscular flap method”can prevent the three postoperative complications—anastomotic leakage,anastomotic stricture and reflux esophagitis in patients of carcimoma of gastric cardia.