Yu Xing-Huo
Department of Cardio-thoracic Surgery, Second People's Hospital of Xinxiang, Xinxiang 453002, China.
Di Yi Jun Yi Da Xue Xue Bao. 2002 Nov;22(11):984-5.
To evaluate the clinical value of mechanical anastomosis in super-cupula pleurae anastomosis (using mechanical anastomosis connecting esophagus and stomach above the diaphragm) of the esophagus and stomach within the thoracic cavity.
A total of 98 cases of esophageal carcinoma were treated surgically by super-cupula pleurae anastomosis of the esophagus and stomach by anastomotic tube.
All anastomoses were completed in single attempt without mortality among the patients, who did not show signs of fistula of anastomosis or injury to recurrent laryngeal nerve and ductus thoracicus. The incidence of anastomosis stricture was 2.04 %(2/98), with tumor remnant rate of the resected end of 1.02 % (1/98).
Mechanical esophagus and stomach anastomosis of super-cupula pleurae in the thoracic cavity can expand the scope eligible for resection in esophageal carcinoma, resembling neck anastomosis that is simple, quick, dependable and safe.
评估胸腔内食管胃超穹窿胸膜吻合术（采用机械吻合在膈肌上方连接食管和胃）中机械吻合的临床价值。
98例食管癌患者采用吻合管行食管胃超穹窿胸膜吻合术进行手术治疗。
所有吻合均一次完成，患者无死亡，未出现吻合口瘘迹象，未损伤喉返神经及胸导管。吻合口狭窄发生率为2.04%（2/98），切除端肿瘤残留率为1.02%（1/98）。
胸腔内食管胃超穹窿胸膜机械吻合可扩大食管癌的可切除范围，类似于颈部吻合，操作简单、快速、可靠且安全。
