Zhang J S
Anyang Tumor Hospital.
Zhonghua Zhong Liu Za Zhi. 1993 Mar;15(2):142-4.
Eccentric esophagogastrostomy was performed in 122 patients with cancers of gastric cardia and fundus from 1989 to 1991. Three patients (2.4%) had anastomotic stricture. There were no postoperative anastomotic leakage, gastroesophageal reflux and postoperative death. Since the procedure is performed on an opened stomach under direct vision, the operator can adjust the length of anastomosis. Postoperative X-ray imaging showed that the anastomotic form resembles the anatomical features of gastric cardia and fundus with a larger diameter than that made by routine operation. Therefore, the eccentric esophagogastrostomy may help to reduce the possibility of postoperative anastomotic stricture, prevent gastroesophageal reflux and anastomotic leakage.
1989年至1991年期间，对122例贲门癌和胃癌患者实施了偏心食管胃吻合术。3例患者（2.4%）出现吻合口狭窄。无术后吻合口漏、胃食管反流及术后死亡病例。由于该手术是在直视下于开放胃上进行，术者可调整吻合长度。术后X线成像显示，吻合形态类似于贲门和胃底的解剖特征，直径大于常规手术所形成的直径。因此，偏心食管胃吻合术可能有助于降低术后吻合口狭窄的可能性，预防胃食管反流和吻合口漏。
