Chernousov A F, Andrianov V A, Bogopol'skiĭ P M, Karapetian A A
Khirurgiia (Mosk). 1990 Nov(11):92-9.
The techniques of formation of esophageal anastomoses are discussed on the basis of experience with 317 operations. The authors believe the following moments to be most important in the creation of communications with the esophagus: the use of a laser scalpel and monophilic atraumatic suture material, accurate apposition of the identical coats of the anastomosed organs by means of sutures placed at some distance from one another and tied not too tightly, creation of an antireflux mechanism in formation of the anastomosis, adequate drainage of the zone of the anastomosis with compulsory isolation of the wound on the neck from the mediastinum by circular stitching of the graft to the surrounding tissues, provision of adequate blood supply to the esophageal stump, correction of tension exerted on the sutures of the anastomosis by means of adequate intraluminal decompression.
基于317例手术的经验，对食管吻合术的技术进行了讨论。作者认为，在建立与食管的连接时，以下几点最为重要：使用激光手术刀和单丝无创伤缝合材料；通过相距一定距离放置并打结不过紧的缝线，准确对合吻合器官的相同层次；在吻合口形成过程中建立抗反流机制；通过将移植物环形缝合到周围组织，充分引流吻合口区，同时强制将颈部伤口与纵隔隔离；为食管残端提供充足的血液供应；通过充分的腔内减压来纠正吻合口缝线所受的张力。
