食管胃颈部可吸收线连续分层吻合180例临床分析

Esophago-gastric continuous laminated anastomosis with absorbable suture at the neck following esophagec-tomy

目的 探讨食管癌切除术食管胃颈部吻合的方法。方法 采用食管黏膜对胃黏膜可吸收线连续缝合,食管肌层对胃浆肌层间断缝合。结果 全组180例中,术后并发症发生率为8.3％,死亡率1.1％,吻合口瘘发生率4.4％。随访1年吻合口狭窄发生率为3.4％。结论 食管胃颈部可吸收线连续分层吻合可有效降低颈部吻合口瘘和狭窄发生率,提高患者的生存质量,是食管癌切除颈部食管胃吻合较理想的方法。

Objective To introduce a method of esophago-gastric anastomosis at the neck following esoph-agectomy.Methods 180 esophagectomies were performed using continuous mucosal anastomosis with absorbable suture plus interrupted seromuscular to muscular suture. Results In these 180 patients, the morbidity rate of complications , the mortality rate and the anastomotic leakage rate were 8.3% , 1.1% and 4.4% respectively. During 1-year follow-up, the anastomotic stenosis rate was 3.4% . Conclusion Esophago-gastric continuous laminated anastomosis with absorbable suture at the neck can reduce anastomotic leakage rate and anastomotic stenosis. Also it can improve patients' life quality. It is a reasonable method for esophagogastrostomy at the neck following esoph-agectomy.