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目的探讨机械吻合在右开胸三切口食管胃右颈部吻合中的应用。方法对13例胸上段食管癌肿瘤瘤体较大的患者行右开胸三切口食管胃右颈部机械吻合,总结优点及手术要点。结果 13例患者无吻合口瘘,无吻合口狭窄,无残端阳性。结论右开胸三切口食管胃右颈部机械吻合可以更加彻底的切除食管癌、缩短手术时间、降低术后并发症。
Objective To investigate the application of mechanical anastomosis in right esophagogastric anastomosis of the right thoracotomy. Methods Thirteen patients with upper thoracic esophageal cancer with large tumor of the esophagus underwent right anterior esophagectomy by right thoracotomy and triple incision. The advantages and the main points of operation were summarized. Results 13 patients had no anastomotic fistula, no anastomotic stenosis, no stump positive. Conclusion The right thoracotomy and right thoracic esophagectomy can cut the esophageal cancer more completely, shorten the operation time and reduce the postoperative complications.