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目的探讨食管斜切口、食管-胃颈部单层宽边吻合术在食管癌中的手术治疗效果。方法回顾性总结分析我科自2004年2月至2009年6月共完成的食管次全切除、食管-胃颈部单层宽边吻合术65例临床资料。结果术后痊愈出院64例,围术期死亡1例,吻合口瘘1例,吻合口直径达1.0cm以上。结论食管胃颈部单层宽边吻合治疗食管癌具有切除彻底,残端癌的发生率低,吻合口瘘及吻合口狭窄发生率低的优点。
Objective To investigate the surgical treatment effect of esophageal oblique incision and esophageal-gastric gland monolayer broadside anastomosis in esophageal cancer. Methods The clinical data of 65 cases of total esophageal subtotal esophagectomy and esophagogastrostomy combined with wide anastomosis from February 2004 to June 2009 in our department were retrospectively analyzed. Results After the operation, 64 patients were discharged, 1 died during perioperative period, 1 was anastomotic fistula and the anastomotic diameter was more than 1.0cm. Conclusion Esophagogastric cervical single-layer wide-side anastomosis for the treatment of esophageal cancer with complete resection, the incidence of stump cancer is low, the advantages of anastomotic fistula and anastomotic stenosis.