The clinical experience in the colon replacement of the esophagus in 240 cases is reported. The overall operative morbidity was 17.5%; the incidence of the anastomotic leaks was 10.4%; and the mortality was 2.80%. The...The clinical experience in the colon replacement of the esophagus in 240 cases is reported. The overall operative morbidity was 17.5%; the incidence of the anastomotic leaks was 10.4%; and the mortality was 2.80%. The points in surgical technique were:1) utilizing the left colic artery as the supporting vessel if possible, based on the anatomy of the colon vessel;2) using the colon segment in an isoperistaltic position,which has been proved much physiological;3) single-layer anastomosis which is simple and reliable, with minimal inflammarion and quick healing; and 4) choosing the channel of the colon transplant according to the disease condition, the age,and the function of the heart and the lung of the patients.展开更多
文摘The clinical experience in the colon replacement of the esophagus in 240 cases is reported. The overall operative morbidity was 17.5%; the incidence of the anastomotic leaks was 10.4%; and the mortality was 2.80%. The points in surgical technique were:1) utilizing the left colic artery as the supporting vessel if possible, based on the anatomy of the colon vessel;2) using the colon segment in an isoperistaltic position,which has been proved much physiological;3) single-layer anastomosis which is simple and reliable, with minimal inflammarion and quick healing; and 4) choosing the channel of the colon transplant according to the disease condition, the age,and the function of the heart and the lung of the patients.
