Korenaga D, Toh Y, Maekawa S, Ikeda T, Sugimachi K
Department of Surgery, Fukuoka City Hospital, Fukuoka, Japan.
Hepatogastroenterology. 1998 Nov-Dec;45(24):2179-80.
BACKGROUND/AIMS: Anastomotic leakage after esophageal surgery is still the main reason for post-operative morbidity and mortality. We developed a reliable procedure for evaluating blood supply to the gastric tube after esophageal reconstruction.
After construction of the gastric tube, tissue blood flow was measured intra-operatively at the anastomotic sites using laser Doppler flowmetry.
There was a distinct difference in tissue blood flow at the distal portion of the gastric tube. The tissue blood flow at the sites of attempted anastomosis was considerably decreased compared to the value of the gastric body (control site).
By measuring tissue blood flow at the attempted anastomotic site intra-operatively using laser Doppler flowmetry, a sufficiently nourished gastric tube could be prepared. It was our hypothesis that total elimination of the ischemic portion would make esophagogastric anastomosis safer and more reliable.
背景/目的：食管手术后吻合口漏仍是术后发病和死亡的主要原因。我们开发了一种可靠的方法来评估食管重建术后胃管的血供情况。
构建胃管后，术中使用激光多普勒血流仪测量吻合部位的组织血流。
胃管远端的组织血流存在明显差异。与胃体（对照部位）的值相比，尝试吻合部位的组织血流明显降低。
通过术中使用激光多普勒血流仪测量尝试吻合部位的组织血流，可以制备出营养充足的胃管。我们的假设是完全消除缺血部分将使食管胃吻合术更安全、更可靠。
