Albert单层吻合法在贲门癌手术中的应用(附1004例报告)

APPLICATION OF ALBERTS SINGLEROW SUTUING IN THE OPERATION OF 1 004 PATIENS WITH CARDIAC CARCINOMA

摘要: 目的 :探讨贲门癌切除的有效吻合技术 ,降低吻合口瘘、狭窄以及返流等主要并发症的发生。方法 :从 1981年 6月至 1998年 12月 ,对食管与胃或空肠的吻合方法进行了改进 ,采用Albert氏单层吻合法进行消化道重建术 10 0 4例 ,其中 899例食管与残胃端侧吻合 ;95例食管与空肠端侧和空肠与空肠侧侧Brown吻合形成双腔代胃。结果 :全组病例无吻合口瘘及手术死亡。结论 :单层吻合具有对合整齐血供好 ,食管切缘癌残留率、吻合口瘘和狭窄、返流性食管炎等并发症发生率低等优点

Abstract: Objective:In order to study the anastomosing technique of esophagogastroanastomosis(esophagojejunostomy)and to reduce the occurrence of the fistula,stenosis and reflux after resection of the cardiac carcinoma.Methods:From June 1981 to December 1998,with the Albert's method of singlerow suturing.1 004 cases of the reconstruction of the digestive tract were done including 899 cases of end-to -side esophagogastroanastomosis and 95 cases of end-to-side esophagojeunostomy plus side-to-side jejunojenunal anastomosis.Results:There was no anastomosis fistula or no operative mortality in this total cases.Conclunion:As its simple procedure,abundant blood supply,less residue of the excision edge and lower rate of the fistula,stenosis and reflux,this method is of significantly clinical value.