CAJ | 학술논문

目的为减少贲门癌切除术后吻合口并发症，提高术后生活质量。方法自1991年8月至1999年6月，626例贲门癌切除术采用食管胃粘膜吻合术。主要步骤为：常规切除贲门部癌肿后，剥除胃吻合口边缘 3cm长的浆肌层，行食管壁全层和胃粘膜层端-端吻合术，将3cm长的吻合口置入胃腔内。结果术后近期并发症发生率10.1%(63/626)，住院死亡率0.6%(4/626)。其中吻合口瘘发生率0.3%(2/626)，吻合口狭窄发生率0.5%(3/626)。对存活病人随访3月～5年，无明显返酸、胸骨后疼痛等症状，无远期吻合口瘢痕狭窄发生。结论采用食管胃粘膜吻合术预防贲门癌切除术后吻合口并发症具有较好的效果。
목적위감소분문암절제술후문합구병발증，제고술후생활질량。방법자1991년8월지1999년6월，626례분문암절제술채용식관위점막문합술。주요보취위：상규절제분문부암종후，박제위문합구변연 3cm장적장기층，행식관벽전층화위점막층단-단문합술，장3cm장적문합구치입위강내。결과술후근기병발증발생솔10.1%(63/626)，주원사망솔0.6%(4/626)。기중문합구루발생솔0.3%(2/626)，문합구협착발생솔0.5%(3/626)。대존활병인수방3월～5년，무명현반산、흉골후동통등증상，무원기문합구반흔협착발생。결론채용식관위점막문합술예방분문암절제술후문합구병발증구유교호적효과。
Objective　To reduce the anastomotic complications and increase patient′s quality of life after resection of cardiac cancer.Methods　626 cases mucous esophagogastrostomy had been performed in A nyang Ca ncer Hospital from Aug.1991 to Jun.1999.Main procedure were as follows:About 3cm le ngth seromuscular layer of the gastric anastomotic magin was removed.The end-to -end anastomosis of whole esophageal layer to gastric mucous layer was perform ed.More than 3cm length of anastomotic region then was inserted into the gastric cavit y.Results　The rate of postoperative complication and ho spital mortality were 1%(63/626) and 0.6%(4/626) respectively.The rate of anasto moti c leakage and anastomotic stricture were 0.3% (2/626) and 0.5 (3/626) respective ly.Postoperative follow-up had lasted 3-month to 5-year for living patients. Neither of them had symptom of regurgitation,pain behind the sternum and anastomotic stricture.Conclusions　Mucous esophagogastomy i s effective to prevent anastomotic complications after resection of the cardiac cancer.