中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2009年
18期
11-13
,共3页
胃肿瘤%食管炎
胃腫瘤%食管炎
위종류%식관염
Stomach neoplasms%Esophagitis
目的 总结围巾式食管.空肠吻合术预防进展期胃癌全胃切除术后吻合口瘘的临床经验.方法 分析2000年1月至2008年10月连续86例进展期胃癌全胃切除围巾式食管-空肠吻合术的临床效果.结果 本组手术病死率为2.3%(2/86).存活84例均获随访,随访时间2～95个月,平均(44±3)个月,术后均未发生吻合口瘘和反流性食管炎,2004年12月及以前,有4例(4.8%,4/84)术后发生吻合口狭窄,经胃镜下扩张治愈;改进技术后再无吻合口狭窄发生.结论 围巾式食管.空肠吻合术可减少进展期胃癌全胃切除术后吻合口并发症,安全、有效.
目的 總結圍巾式食管.空腸吻閤術預防進展期胃癌全胃切除術後吻閤口瘺的臨床經驗.方法 分析2000年1月至2008年10月連續86例進展期胃癌全胃切除圍巾式食管-空腸吻閤術的臨床效果.結果 本組手術病死率為2.3%(2/86).存活84例均穫隨訪,隨訪時間2～95箇月,平均(44±3)箇月,術後均未髮生吻閤口瘺和反流性食管炎,2004年12月及以前,有4例(4.8%,4/84)術後髮生吻閤口狹窄,經胃鏡下擴張治愈;改進技術後再無吻閤口狹窄髮生.結論 圍巾式食管.空腸吻閤術可減少進展期胃癌全胃切除術後吻閤口併髮癥,安全、有效.
목적 총결위건식식관.공장문합술예방진전기위암전위절제술후문합구루적림상경험.방법 분석2000년1월지2008년10월련속86례진전기위암전위절제위건식식관-공장문합술적림상효과.결과 본조수술병사솔위2.3%(2/86).존활84례균획수방,수방시간2～95개월,평균(44±3)개월,술후균미발생문합구루화반류성식관염,2004년12월급이전,유4례(4.8%,4/84)술후발생문합구협착,경위경하확장치유;개진기술후재무문합구협착발생.결론 위건식식관.공장문합술가감소진전기위암전위절제술후문합구병발증,안전、유효.
Objective To present the experience with scarf-liking esophagojejunal anastomosis to decrease the anastomotic leak. Methods An analysis of the clinical outcome of 86 consecutive patients from January 2000 to October 2008 who underwent scarf-liking esophagojejunal anastomosis after total gastrectomy for advanced gastric carcinoma. Results Two of these patients died, the operative mortality rate was 2.3%. Eighty-four survivals were followed up for 2-95(44±3) months. None of the survivals developed anastomotic leak and reflux esophagitis. Anastomotic strictures occurred in 4 patients (4.8%) treated before December 2004, and transgastroscopy dilatation was effective treatment. There was no anastomotic stricture developed after surgical technology improved. Conclusion The new scarf-liking esophagojejunal anastomosis has more advantages to reduce anastomotic complications and total gastrectomy for advanced gastric carcinoma, is safe and effective.
