健康之路
健康之路
건강지로
HEALTH
2014年
5期
18-18,19
,共2页
食管肿瘤%消化道重建%结肠代食管
食管腫瘤%消化道重建%結腸代食管
식관종류%소화도중건%결장대식관
Esophageal cancer%Digestive tract reconstruction%Colon replacement of esophagus
目的：探讨结肠代食管的消化道重建方式在无法行“管状胃”的食管癌根治术中的应用.方法：手术均采用 IVOR-LEWIS术式行右胸二或三切口根治术，术中结肠代食管后行食管床胸内吻合或颈部吻合，观察术后围手术期并发症及生存情况.结果：本组13例均顺利完成手术，无围手术期死亡，平均生存23．9个月.结论：结肠代食管经食管床胸内吻合或颈部吻合术是无法行胃代食管时行之有效的替代手术方式.
目的：探討結腸代食管的消化道重建方式在無法行“管狀胃”的食管癌根治術中的應用.方法：手術均採用 IVOR-LEWIS術式行右胸二或三切口根治術，術中結腸代食管後行食管床胸內吻閤或頸部吻閤，觀察術後圍手術期併髮癥及生存情況.結果：本組13例均順利完成手術，無圍手術期死亡，平均生存23．9箇月.結論：結腸代食管經食管床胸內吻閤或頸部吻閤術是無法行胃代食管時行之有效的替代手術方式.
목적：탐토결장대식관적소화도중건방식재무법행“관상위”적식관암근치술중적응용.방법：수술균채용 IVOR-LEWIS술식행우흉이혹삼절구근치술，술중결장대식관후행식관상흉내문합혹경부문합，관찰술후위수술기병발증급생존정황.결과：본조13례균순리완성수술，무위수술기사망，평균생존23．9개월.결론：결장대식관경식관상흉내문합혹경부문합술시무법행위대식관시행지유효적체대수술방식.
Objective:To study the way of generation of the digestive tract reconstruction of esophagus colon in line “tubular stomach”in the application of the esophageal cancer radical.Methods:Adopt IVOR - LEWIS surgery with two or three incisions in the right chest,radical intraoperative colonic generation of intrathoracic esophageal bed after anastomosis or neck esophagus anastomosis,to observe the postoperative perioperative complications and survival situation.Result:13 patients were successful y completed surgery,no perioperative death,average survival of 23.9 months.Conclusion:Colon generaG tion by the bed intrathoracic esophagus anastomosis or neck esophagus anastomosis is an ef ective alternative surgery way to whom unable to generation of esophagus stomach.
