Gibradze O T, Gurgenidze M M, Bakuradze G B, Tevtoradze D I, Samsoniia M D
Georgian Med News. 2010 Sep(186):7-13.
The aim of the research is to analyze the outcome of treatment of patients with cardioesophageal cancer. Subtotal resection of esophagus with gastrectomy was performed on 3 patients. On 9 patients the resection of esophagus with gastrectomy from left thoracophrenolaparotomy was performed. Gastrectomy with resection of abdominal part of esophagus was performed on 10 patients. Transhiatal mediastinal lymphadenectomy S2D2 was carried out in all cases. The esophageal anastomosis has been formed by circular apparatus EEA and SPTU. The functional condition of anastomosis was investigated by X-ray, endoscopical and endo-sonographical methods in the postoperative period. The complications caused by technical errors of esophageal anastomosis were reviewed. The regeneration of circular anastomosis depends of adequate blood supply of anastomosis, observance of safety rules of imposing circular anastomosis. Reasonable application of circular apparatus, the refined technics of imposing anastomosis, X-ray, endoscopical and endo- sonographical research methods decrease complications and promote recovery.
该研究的目的是分析贲门食管癌患者的治疗结果。对3例患者实施了食管次全切除术加胃切除术。9例患者通过左胸腹膜后剖腹术进行了食管切除术加胃切除术。10例患者实施了胃切除术加食管腹部段切除术。所有病例均进行了经裂孔纵隔淋巴结清扫术S2D2。食管吻合术采用EEA环形器械和SPTU完成。术后通过X线、内镜及超声内镜检查方法对吻合口的功能状况进行了研究。对食管吻合技术失误所致并发症进行了回顾。圆形吻合口的再生取决于吻合口充足的血供、遵守圆形吻合的安全规则、圆形器械的合理应用、精细的吻合技术、X线、内镜及超声内镜检查研究方法，这些可减少并发症并促进恢复。
