Cheng C S
Linxian County People's Hospital, Henan.
Zhonghua Wai Ke Za Zhi. 1990 May;28(5):261-2, 316.
105 cases of esophageal cancer and 46 cases of gastric cardia carcinoma were resected and the continuity of alimentary canal was resumed by planting esophagus into the stomach. This procedure had been designed by authors. There is neither anastomotic leakage nor stricture. Only 1 case died perioperatively. The anastomosis start by suturing the whole thickness of esophageal wall to the mucous membrane of stomach. Then the esophageal stump was telescoped into the stomach by suturing the secomuscular layer of stomach to the outer layer of esophageal muscles, with a distance of about 3 cm from the inner anastomatic line. When the anastomasis was finished, esophageal mucous membrane everted slightly, and prolapsed a little as food bolus passes. We suggest these are the mechanisms preventing the anastomosis from leaking or narrowing. Reflex of gastric content may be prevented too.
对105例食管癌和46例贲门癌患者实施了手术切除,并通过将食管植入胃内恢复消化道的连续性。该手术方法由作者设计。术后既无吻合口漏,也无狭窄。围手术期仅1例死亡。吻合术开始时,将食管壁全层缝合至胃黏膜。然后,通过将胃的第二层肌层缝合至食管肌外层,使食管残端套入胃内,距内侧吻合线约3 cm。吻合完成后,食管黏膜略有外翻,当食物团通过时会稍有脱垂。我们认为这些是防止吻合口漏或狭窄的机制。还可防止胃内容物反流。