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目的探讨胃管状成形术在三切口食管癌切除术中的应用价值。方法对120例食管癌常规经颈胸腹三切口切除术中行胃管状成形术。结果术后声音嘶哑2例,谵妄2例,吻合口狭窄1例,无吻合口瘘、胸胃综合征及明显返流性食管炎等并发症,均顺利康复出院。结论经颈胸腹三切口食管癌切除术中行胃管状成形术,使胃扩张受限,可减轻胸胃潴留所致压迫症状及返流性食管炎;胸胃延长,张力减轻,使吻合区胃组织的供血相应增加,亦能减少吻合口瘘的发生。
Objective To investigate the value of gastric tubular angioplasty in the resection of triple incision esophageal cancer. Methods A total of 120 cases of esophageal carcinoma were treated by gastric thoraco-abdominal incision. Results 2 cases of hoarseness after surgery, delirium in 2 cases, anastomotic stenosis in 1 case, no anastomotic leakage, thoracic stomach syndrome and significant reflux esophagitis and other complications were successfully discharged. Conclusions Gastric tubular angioplasty is performed during the resection of cervical, thoracic and abdominal triple incision esophageal cancer to limit the expansion of the stomach and relieve the compression symptoms and reflux esophagitis caused by thoracic gastric retention. The thoracic stomach is prolonged and the tension is relieved so that the anastomosis area A corresponding increase in blood supply to the stomach, but also reduce the incidence of anastomotic leakage.