Liu K, Zhang G C, Cai Z J
J Thorac Cardiovasc Surg. 1983 Jul;86(1):142-5.
The most serious complication following esophagectomy and conventional intrathoracic esophagogastrostomy is anastomotic leakage, which contributes to both a high mortality and morbidity postoperatively. The incidence of anastomotic leakage reported in a recent 10 year period ranged from 3% to 18%, with a mean of 4.9%. A series of 433 esophagogastrostomies were performed in our institute from 1954 to 1981 for various esophageal lesions, including 414 cases of carcinoma of the esophagus. A conventional esophagogastrostomy was carried out in 319 patients and 12 leaks occurred postoperatively, an incidence of 3.7%. In comparison, another group of 114 patients underwent "tunnel" esophagogastrostomy, a technique that we designed. There was only one leak, an incidence of 0.87%. The "tunnel" esophagogastrostomy is therefore recommended as a reliable operative procedure for minimizing the incidence of anastomotic leakage. The operative technique is described in detail.
食管切除及传统胸内食管胃吻合术后最严重的并发症是吻合口漏，这会导致术后高死亡率和高发病率。最近10年报道的吻合口漏发生率在3%至18%之间，平均为4.9%。1954年至1981年，我们研究所针对各种食管病变进行了433例食管胃吻合术，其中包括414例食管癌患者。319例患者进行了传统食管胃吻合术，术后发生12例漏，发生率为3.7%。相比之下，另一组114例患者接受了我们设计的“隧道”式食管胃吻合术。仅发生1例漏，发生率为0.87%。因此，推荐“隧道”式食管胃吻合术作为一种可靠的手术方法，以尽量降低吻合口漏的发生率。本文详细描述了该手术技术。
