Watanabe H
Department of Surgery, National Cancer Center Hospital Tokyo, Japan.
Nihon Geka Gakkai Zasshi. 1996 Jun;97(6):432-6.
This paper described the techniques to protect the leakage of anastomosis in esophagogastrostomy at the neck. The cautious techniques to protect anastomotic leakage is; 1) When there are not the connection between right gastroepiploic vessel with left gastroepiploic vessel, it is better that the amount of large omentum shall be reserved as possible as. 2) It is important that for the preservation of blood circulation at the submucosa of anastomosis, the intestinal clamp do not be applicated. 3) We use two-layer manual anastomosis. In this anastomosis, the needle using the inner mucosa to mucosa sutures shall be insert into inner circular muscle layer. This technique minimized the possibility of miner leakage.
本文描述了颈部食管胃吻合术中防止吻合口漏的技术。防止吻合口漏的谨慎技术如下：1）当胃网膜右血管与胃网膜左血管无连接时，应尽可能多地保留大网膜。2）对于保留吻合口黏膜下层的血液循环而言，不应用肠钳很重要。3）我们采用两层手工吻合。在这种吻合中，用于黏膜对黏膜缝合的针应插入内环肌层。该技术将微小渗漏的可能性降至最低。
