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一期胸骨后结肠代食管术治疗烧伤后食管瘢痕狭窄患者

[One-stage retrosternal colonic esophagoplasty in treatment of patients with scar burn stricture of esophagus].

作者信息

Vorobeĭ A V, Chepik D A, Vizhinis V I

出版信息

Khirurgiia (Mosk). 2014(7):26-33.

Abstract

Esophagoplasty was done in 23 patients an average of 10.4±2.3 months after chemical burn of esophagus. It was necessary to perform 29 corrective operations in 18 cases for training to one-stage plastic surgery such as gastrostomy, resection of stomach, retrocolic gastrojejunostomy on short loop. One-stage esophagoplasty was done in 21 of 23 cases. Functionally the most unusable anastomosis was cervical esophageal-intestinal anastomosis side-to-side. The number of complications after esophagocoloplasty by using of right flank was less than after using of left flank (39.92% vs. 50% respectively).

摘要

23例患者在食管化学烧伤后平均10.4±2.3个月接受了食管成形术。18例患者因训练一期整形手术(如胃造口术、胃切除术、短袢结肠后胃空肠吻合术)而进行了29次矫正手术。23例患者中有21例行一期食管成形术。功能上最不可用的吻合方式是颈段食管-肠侧侧吻合。采用右侧腹进行食管结肠成形术后的并发症数量少于采用左侧腹(分别为39.92%和50%)。

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