CAJ | 학술논문

目的：探讨食管癌手术中一种进一步降低吻合口瘘的吻合口处理方法方法对112例中下段食管癌及贲门癌患者在全麻下行经左胸切除肿瘤，胃食管端侧机械吻合术，吻合口间断全层加强缝合结果本组发生吻合口瘘一例，无吻合口出血、胸腔胃坏死穿孔及胸内感染，无死亡，发生术后吻合口狭窄18例（16%）结论机械吻合后吻合口全层加强缝合，能有效降低食管癌吻合口瘘的发生，但可能增加吻合口狭窄发生率。
목적：탐토식관암수술중일충진일보강저문합구루적문합구처리방법방법대112례중하단식관암급분문암환자재전마하행경좌흉절제종류，위식관단측궤계문합술，문합구간단전층가강봉합결과본조발생문합구루일례，무문합구출혈、흉강위배사천공급흉내감염，무사망，발생술후문합구협착18례（16%）결론궤계문합후문합구전층가강봉합，능유효강저식관암문합구루적발생，단가능증가문합구협착발생솔。
Objective:To evaluate a anastomotic technique of eliminating anastomotic leak after mechanical anastomosis in the surgery of Oesophageal and gastric cardia cancer. Methods:the clinical data of 112 patients after transthoracic resec-tion for carcinoma of the esophagus and gastric cardia were analyzed retrospectively. One-layer interrupted sutures were made after end to end mechanical anastomosis. Results:One anastomotic leakage was identified in the 112 patients,there was no anastomotic bleeding,intrathoracic gastric perforation and all these patients survived. eighteen patients(16% )de-veloped a benign esophageal stricture. Conclusion:One-layer interrupted sutures after mechanical anastomosis can prevent anastomotic leakage but increase the strictures. Dilatation is a safe and effective treatment.