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目的食管和贲门癌切除术后吻合瘘口是常见的并发症之一，为了降低吻合口瘘的发生率，我院心胸外科对食管与胃或肠的吻合方法进行了改进。方法食管与胃空肠结肠吻合采用一层吻合法，共手术２００５例，其中食管与全胃吻合１０４１例，与残胃吻合８６９例，与空肠吻合８５例，与结肠吻合１０例。结果全组术后发生吻合口瘘４１例（２．０％），死亡１５例（３６．６％）。结论经临床运用证明一层吻合术具有对合整齐血供好，肿瘤切除率高，吻合口瘘发生率低等优点。改进吻合技术，保护吻合口血供，减少术中污染，降低吻合口张力是预防吻合口瘘的重要措施。
Objective Esophageal and cardiac cancer resection after anastomosis is one of the common complications, in order to reduce the incidence of anastomotic leakage, our hospital cardiothoracic surgery to the esophagus and stomach or bowel anastomosis method has been improved. Methods One-stage anastomosis was used for the esophageal and gastrojejunal anastomosis. A total of 2005 cases were performed, including 1041 cases of esophagogastric anastomosis, 869 anastomoses with residual stomach, 85 anastomosis with jejunum, and 10 anastomoses with colon. Results Anastomotic fistula occurred in 41 cases (2.0%) and 15 cases (36.6%) died after operation. [Conclusion] The clinical use of one-stage anastomosis proved that the anastomosis has the advantages of neat blood supply, high tumor resection rate, and low incidence of anastomotic leakage. Improve the anastomosis technology, protect the anastomotic blood supply, reduce intraoperative contamination, reduce the anastomotic tension is an important measure to prevent anastomotic leakage.