Ribet M, Barrat C
Clinique Chirurgicale Ouest, Hôpital Calmette, Lille.
Ann Chir. 1995;49(2):133-7.
68 patients underwent oesophageal replacement for benign disease: atresia (12), reflux oesophagitis (16), caustic stenosis (37), internal fistula (3). The transplant was the ileocolon (27), the transverse (5) or left colon (36). It was substernal (55) or posterior mediastinal (13). A by-pass was performed without oesophagectomy (51) or an interposition accompanied oesophagectomy (17). The superior anastomosis was cervical (52) or thoracic (16). The inferior anastomosis was on the stomach (46), duodenum (10) or jejunum (12). Hospital mortality was 8.8%, morbidity was 57.3%. Among the 62 survivors, 18 had another operation. At the end of the survey, 68% had near normal function.
68例患者因良性疾病接受了食管置换术:闭锁(12例)、反流性食管炎(16例)、腐蚀性狭窄(37例)、内瘘(3例)。移植器官为回结肠(27例)、横结肠(5例)或左结肠(36例)。手术路径为胸骨后(55例)或后纵隔(13例)。未行食管切除术而行旁路手术(51例)或行食管切除术并进行肠段间置术(17例)。上吻合口位于颈部(52例)或胸部(16例)。下吻合口位于胃(46例)、十二指肠(10例)或空肠(12例)。医院死亡率为8.8%,发病率为57.3%。在62名幸存者中,18人接受了再次手术。在调查结束时,68%的患者功能接近正常。