T形全机械食管胃颈部侧侧吻合在食管癌手术中的应用

Technique of T-shaped total mechanical cervical esophagogastric side-to-side anastomosis in esophagectomy

目的:探讨T形全机械食管胃颈部侧侧吻合在食管癌手术中的应用价值。方法:回顾性分析2015年7月~2016年1月我科完成的23例T形全机械食管胃颈部侧侧吻合患者临床资料,观察吻合时间以及吻合口瘘、吻合口狭窄、吻合口返流、吻合口出血等并发症。结果:所有患者均顺利完成吻合,平均吻合时间(18.5±2.4)min,术后无吻合口狭窄、吻合口返流、吻合口出血发生,1例出现吻合口瘘。结论:T形全机械食管胃颈部侧侧吻合简便易行,缩短了吻合时间,且明显降低了吻合口狭窄的发生率,值得临床推广。

Objective：To evaluate the clinical values of T-shaped total mechanical cervical esophagogastric side-to-side anastomosis（TSA） in esophagectomy.Methods： The clinical data were reviewed in 23 cases undergone TSA in our department between July 2015 and January 2016.The outcomes,including anastomosis time,anastomotic leak,postoperative stricture,anastomotic reflux and bleeding,were observed.Results： TSA was accomplished in all patients.The mean time for anastomosis was（18.5±2.4） min.No postoperative anastomotic stricture,refluex and bleeding occurred except for anastomotic leakage in one patient.Conclusion： The technique of TSA can be worthy of wider clinical recommendation for its simple performance,shortened anastomosis time and significantly reduced incidence of postoperative stricture.