小包埋与大包埋吻合法对食管胃吻合口的影响

Effect of small and large embedding method on esophagogastric anastomotic stoma

目的 探讨小包埋吻合法与大包埋吻合法对食管癌及贲门癌手术后吻合口瘘、狭窄、反流这三大并发症的影响。方法 回顾总结 9年 478例 (小包埋法 2 46例 ,大包埋 2 32例 )两种不同吻合法的随访结果 ,并作对比分析。结果 大包埋吻合法在防止吻合口瘘、吻合口狭窄及反流方面 ,均优于前者。结论 大包埋吻合法是防止食管胃吻合口瘘、狭窄及反流的有效方法之一 ,操作简单 ,安全可靠 ,值得推广。

Objective To study the effect of small or large embedding method on the three complications including anastomotic fistula, stenosis and reflux after the operation of esophageal and cardiac carcinoma. Methods The results of two anastomotic methods were analysed.Results Large embedding method was superior to small embedding method in preventing esophagogastric anastomotic fistula, stenosis and reflux. Conclusions Large embedding method is one of effective method to preventing esophagogastric anastomotic fistula, stenosis and reflux. It is of easy manipulation, safety and reliablity and worthy of popularization.