食管癌、贲门癌术后吻合口瘘的预防

Prevention of anastomotic fistula in postoperative esophageal or cardiac cancer

目的:探讨食管癌、贲门癌术后吻合口瘘发生的原因及预防。方法对310例食管癌、贲门癌切除食管胃吻合重建,术后观察吻合瘘的发生情况。结果发生2例吻合口瘘,2例均为机械吻合,其发生率0.65%,1例治愈而另1例死亡。结论吻合口瘘的发生是一个综合因素的结果,吻合技术是关键,采用综合措施可减少吻合口瘘的发生。

bjective To probe into the reason and prevention of the anastomotic fistula in postoperativeesophageal or cardiac cancer. Methods Observe the occurrence of the anastomotic fistula in 318 examples ofesophageal or cardiac cancer resection which anastomose esophageal with stomach. . Results The anastomotic fistulawas 2 cases in this group, 2 case was in the mechanical anastomose, the occurrence rate is 0.8% one of which wascured and another died. Conclusion The reason of anastomotic leakage is comprehensive factors, anastomotictechnique is key, to reduce the occurrence of anastomotic leakage by using combined therapy.