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报告1994年6月至1996年2月间对45例中下段食管癌患者行左前外侧开胸上胸段食管内翻拨脱,食管床全胃移植颈部吻合术。手术切除率100%,手术吻合口瘘发生率6.6%(3/45),喉返神经损伤2例,左下肺感染2例,无手术死亡。同其它手术方法比较具有相对简单,对心肺功能影响小,严重并发症少,而且能达到全食管切除的优点。
Reported from June 1994 to February 1996, 45 cases of middle and lower esophageal cancer patients underwent left anterolateral thoracotomy, upper thoracic esophageal varus, and esophageal bed total stomach transplantation neck anastomosis. The surgical resection rate was 100%, the incidence of surgical anastomotic leakage was 6.6% (3/45), 2 cases of recurrent laryngeal nerve injury, 2 cases of left lower lung infection, and no operative death. Compared with other surgical methods, it is relatively simple, has little effect on heart and lung function, has few serious complications, and can achieve the advantages of total esophageal resection.