Rajan R, Rajan R, Rajan N, Pai U S
Department of ENT, Kasturba Medical College Hospital, Manipal, India.
J Laryngol Otol. 1993 Nov;107(11):1021-4. doi: 10.1017/s0022215100125150.
Gastric pull-up is a reliable method of one-stage reconstruction following total laryngopharyngoesophagectomy (TLPE). However, the technique of blunt finger dissection for extrapleural extraction of the oesophagus is liable to produce chest complications like pneumothorax. We report a series of 45 patients who underwent gastric pull-up using the technique of oesophageal extraction by stripping which produced virtually no thoracic complications. This simple technique has greatly reduced morbidity associated with gastric pull-up.
胃上提术是全喉咽食管切除术（TLPE）后一期重建的可靠方法。然而，钝性手指分离技术用于胸膜外食管游离易引发气胸等胸部并发症。我们报告了一组45例患者，他们采用剥脱法游离食管技术进行胃上提术，几乎未产生胸部并发症。这种简单技术极大地降低了与胃上提术相关的发病率。
