Ionescu G O, Tuleascá I
Chir Pediatr. 1985;26(6):328-30.
In cases of caustic oesophageal strictures that need oesophagoplasty, the removal of the injured oesophagus is always necessary--a fact that demands a new transthoracic operation. The authors describe a technique which combines, in a one stage operation, the blunt total transmediastinal oesophagectomy and reverse gastric tube oesophagoplasty, this being placed in the posterior mediastinum in the bed of the oesophagus removed by eversion stripping. The authors carried out thirteen oesophagoplasties of this type with no mortality and no severe complications.
在需要进行食管成形术的腐蚀性食管狭窄病例中,切除受损食管总是必要的——这一事实需要一种新的经胸手术。作者描述了一种技术,在一期手术中,将钝性全纵隔食管切除术和逆行胃管食管成形术相结合,通过外翻剥脱术将胃管置于后纵隔食管切除后的床内。作者进行了13例这种类型的食管成形术,无死亡病例,也无严重并发症。