Division of Thoracic Surgery, Department of Thoracic and Cardiovascular Surgery, West Virginia University, WVU School of Medicine, 1 Medical Center Drive, Morgantown, WV 26506, USA.
Division of Thoracic Surgery, Department of Thoracic and Cardiovascular Surgery, West Virginia University, WVU School of Medicine, 1 Medical Center Drive, Morgantown, WV 26506, USA.
Surg Clin North Am. 2021 Jun;101(3):511-524. doi: 10.1016/j.suc.2021.03.012.
This article discusses and illustrates a variety of accepted techniques of esophagogastric anastomosis during an esophagectomy. The performance of an anastomotic technique can be surgeon specific, although it is of great benefit for the esophageal surgeon to be facile and adept in multiple techniques, as occasionally the clinical situation may be better suited for a particular technique. Regardless of the method of creating the esophagogastric anastomosis, the goal is to create a viable, tension-free and nonobstructive anastomosis with adequate margins.
本文讨论并说明了食管癌切除术中各种可接受的食管胃吻合技术,并举例加以说明。吻合技术的操作可能因术者而异,但食管外科医生掌握多种技术会大有裨益,因为有时临床情况可能更适合某种特定技术。无论采用何种方法进行食管胃吻合,目标都是要创建一个可行、无张力且无梗阻的吻合口,并确保有足够的切缘。