Kivelitz H, Ulrich B, Mahmud H
Chirurg. 1980 Nov;51(11):717-21.
In the last 12 months 40 patients underwent surgery for carcinoma of the esophagus. In 18 cases the tumor was located in the lower third of the esophagus. An abdomino-thoracic approach was employed and a 2/3 resection of the esophagus and an esophagogastrostomy were performed. The resected area was bridged by an isoperistaltic gastric tissue tube and anastomosis was carried out using the EEA stapler. A telescope antirefluxplasty was performed to protect the anastomosis and to prevent a gastroesophageal reflux. One patient died of pneumonia. In all cases a secure anastomosis was achieved and in most cases gastroesophageal reflux was prevented.
在过去12个月中，40例患者接受了食管癌手术。18例患者的肿瘤位于食管下三分之一处。采用胸腹联合入路，进行了食管三分之二切除术和食管胃吻合术。切除区域用等蠕动胃组织管搭桥，并使用EEA吻合器进行吻合。进行了望远镜抗反流成形术以保护吻合口并防止胃食管反流。1例患者死于肺炎。所有病例均实现了安全吻合，大多数病例防止了胃食管反流。
