Mannell A
Ann R Coll Surg Engl. 1982 Jul;64(4):256-9.
In 1920 Kirschner described an operation to bypass oesophageal strictures. In this operation the stomach is brought to the neck by the subcutaneous route and the fundus anastomosed to the proximal end of the divided cervical oesophagus. The distal cervical oesophagus is closed and the intra-abdominal oesophagus is drained into a Roux-en-Y loop of jejunum. This paper reports the performance of this operation on 15 African patients with carcinoma of the oesophagus invading the tracheobronchial tree. There were no operative deaths and all the patients could eat a normal diet after the operation. Ten patients also received radiation therapy to the tumour. The technique of the operation and the late results of treatment are discussed.
1920年，基尔施纳描述了一种绕过食管狭窄的手术。在该手术中，胃经皮下途径被提至颈部，胃底与切断的颈段食管近端吻合。颈段食管远端关闭，腹段食管引流至空肠的Roux-en-Y袢。本文报告了对15例食管癌侵犯气管支气管树的非洲患者实施该手术的情况。无手术死亡病例，所有患者术后均能正常饮食。10例患者还接受了肿瘤放疗。文中讨论了手术技术及治疗的远期结果。
