Wei G Q
Henan Tumor Hospital, Zhengzhou.
Zhonghua Wai Ke Za Zhi. 1991 Sep;29(9):567-8, 590.
Partial esophagectomy through left thoracotomy and cervical esophagogastrostomy via the esophageal bed was done in 250 patients with esophageal cancer of the upper and middle-third segment and with cicatrical esophageal stenosis. Two patients (0.8%) had cervical anastomotic leakage and 3 (1.2%) had cardiopulmonary complications. There was no operative death. This procedure is effective in keeping the position of intrathoracic organs normal, reducing the tension at the site of esophagogastrostomy, preventing the heart and lungs from being compressed by the distension of thoracic stomach, and reducing the incidence of postoperative anastomotic leakage and cardiopulmonary complications.
对250例上、中段食管癌及瘢痕性食管狭窄患者行左胸径路部分食管切除术,并经食管床行颈部食管胃吻合术。2例患者(0.8%)发生颈部吻合口漏,3例(1.2%)发生心肺并发症。无手术死亡。该手术能有效保持胸内器官位置正常,降低食管胃吻合部位的张力,防止胸腔胃扩张压迫心肺,并降低术后吻合口漏和心肺并发症的发生率。