Department of Esophageal Surgery, Tokyo Medical and Dental University, Tokyo, Japan.
Department of Esophageal Surgery, Tokyo Medical and Dental University, Tokyo, Japan.
Ann Thorac Surg. 2020 Jun;109(6):e445-e447. doi: 10.1016/j.athoracsur.2019.12.084. Epub 2020 Feb 20.
Gastric tube reconstruction is now the method most frequently used for digestive tract reconstruction after the resection of esophageal carcinoma. In our institute, a flexible gastric tube designed to supply a sufficient amount of blood to the tip of the gastric tube (the same as a subtotal gastric tube) and simultaneously provide sufficient length for tension-free anastomosis in the cervical surgical field (the same as a narrow gastric tube) was introduced. This gastric tube formation method has contributed to reducing the rate of anastomotic leakage.
胃管重建目前是食管癌切除术后消化道重建最常用的方法。在我院,引入了一种设计用于向胃管尖端提供足够血液(与次全胃管相同)同时为颈部手术区域的无张力吻合提供足够长度(与窄胃管相同)的弹性胃管。这种胃管形成方法有助于降低吻合口漏的发生率。