Wong J
Surg Gynecol Obstet. 1987 Jun;164(6):568-72.
Using the abdominal-right chest approach for subtotal esophagectomy of carcinoma of the thoracic esophagus by creating an anastomosis in the apex of the chest with a circular stapler, we have found the technique to be expeditious, tidy and safe. Anastomotic leakage occurred in only one of 108 operations. The site of the anastomosis is as high as, if not higher, than the usual three phase esophagectomy with cervical anastomosis, thus demonstrating that subtotal esophagectomy has been achieved. Technical details are quite important for the success of this operation and the method described herein has been shown to be satisfactory.
采用经腹-右胸入路行胸段食管癌次全切除术，使用圆形吻合器在胸腔顶部进行吻合，我们发现该技术快速、整洁且安全。108例手术中仅1例发生吻合口漏。吻合部位与常规经颈吻合的三切口食管癌切除术相比，即便不更高，也同样高，从而表明实现了次全食管切除术。技术细节对该手术的成功至关重要，本文所述方法已被证明是令人满意的。
