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目的 探讨食管癌切除术后胃代食管弓上吻合中胃经食管床上行与经胸腔上行两种术式的不同。方法 回顾性分析经胸腔上行吻合 30 0例和经食管床上行吻合 2 0 1例在减轻胸胃的不适感和对心肺功能的影响 ,减少食管床渗出 ,避免吻合口成角 ,减轻反流 ,预防吻合口漏 ,及操作难度等方面的优缺点进行比较分析。结果 食道癌切除后经食道床主动脉弓上吻合除操作难度稍有增加外 ,其他各方面均有明显优点。可以减轻胸胃造成的不适感 ,对心肺功能干扰小 ,此术式更接近正常解剖与生理。结论 采用经食管床经路弓上吻合是食管癌切除后消化道重建较为理想的方法。
Objective To investigate the difference between upper esophageal and gastric esophageal anastomosis after esophagectomy for esophagectomy. Methods A retrospective analysis of 30 cases of supraclavicular anastomosis and 200 cases of esophageal bed anastomosis in mitigation of thorax and stomach discomfort and cardiopulmonary function, reduce the oesophageal effusion, to avoid anastomotic angle, reduce reflux , To prevent anastomotic leakage, and operational difficulties and other aspects of the advantages and disadvantages of comparative analysis. Results esophageal resection of the trans-esophageal aortic arch on the bow in addition to a slight increase in the difficulty of operation, other aspects have obvious advantages. Can reduce the discomfort caused by the thoracic stomach, heart and lung function interference is small, this technique is closer to the normal anatomy and physiology. Conclusion The transesophageal approach of the transesophageal approach is an ideal method for reconstructing the digestive tract after esophagectomy.