CAJ | 학술논문

目的回顾性评价经胸食管横断吻合器再吻合术治疗门静脉高压术后再出血的效果.方法应用经胸食管横断吻合器再吻合术在食管下段较低位置阻断食管静脉血流的同时,离断腹段残留或复发的冠状静脉属支.结果本组共11例患者,择期手术9例,急症手术2例,无手术死亡.11例患者均获得长期随访,无再出血或严重并发症发生,于术后1年因肝功能衰竭死亡1例,术后2年1例死于肝癌,其余9例均生存5年以上,5年生存率81.82%(9/11).结论经胸食管横断吻合器再吻合术适用于门静脉高压术后再出血患者,该手术时间短,止血彻底,预后良好.
목적 회고성평개경흉식관횡단문합기재문합술치료문정맥고압술후재출혈적효과.방법 응용경흉식관횡단문합기재문합술재식관하단교저위치조단식관정맥혈류적동시,리단복단잔류혹복발적관상정맥속지.결과 본조공11례환자,택기수술9례,급증수술2례,무수술사망.11례환자균획득장기수방,무재출혈혹엄중병발증발생,우술후1년인간공능쇠갈사망1례,술후2년1례사우간암,기여9례균생존5년이상,5년생존솔81.82%(9/11).결론 경흉식관횡단문합기재문합술괄용우문정맥고압술후재출혈환자,해수술시간단,지혈철저,예후량호.
Objective To retrospectively evaluate the effect of transthoracic esophageal transaction and reanastomosis use the stapler for management of postoperative recurrent bleeding of portal hypertension.Methods Used the transthoracic esophageal and reanastomosis to make low esophageal transection and transect the intraabdominal residual or recurrent varices of coronary vein in the treatment of recurrent bleeding of portal hypertension.Results In 11 cases of postoperative rebleeding of portal hypertension,9 cases were treated by selective operation,2 cases were treated by emergency operation,witbout postoperative mortality.All the patients received long term follow-up,no patients with bleeding or severe complications,1 cases died of liver function failure in 1 year postoperative,1 cases died of hepatoma in 2 years postoperative,the others existed over 5 years,and the 5-year survival rate was 81.82%.Conclusion The transthoracic esophageal transection and reanastomosis use the stapler is a rational operative method for postoperative recurrent bleeding of portal hypertention.The operation time is short,the hemostatic effect is reliable and the postoperative results are well.