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目的 :为了预防食管胃吻合口并发症 ,作者自1987年9月～1997年4月设计一种新术式应用于临床研究。方法 :在肿瘤上方斜形切除食管 ,保留其粘膜层1～1.5cm长 ,且外翻覆盖在肌层上 ,然后将食管端2～2.5cm插入胃腔内 ,用胃切吻合口全层与食管肌层缝合一周 ,并在其上方再包埋缝合一层。结果 :采用此方法连续治疗食管癌、贲门癌176例 ,术后未发生任何吻合口并发症。结论 :本术式在许多关键步骤上有别于传统吻合方法 ,对防止吻合口瘘、狭窄及返流性食管炎有临床实用价值
Objective: To prevent the complications of esophagogastric anastomosis, the author designed a new surgical procedure for clinical studies from September 1987 to April 1997. Methods: Oblique resection of the esophagus above the tumor, leaving the mucous layer 1 ~ 1.5cm long, and valgus covered in the muscle layer, then insert the esophageal end 2 ~ 2.5cm into the stomach cavity, with the stomach anastomosis full-thickness and The esophageal muscle was sutured for one week and a layer of suture was placed over it. Results :There were 176 cases of esophageal and cardiac cancers treated with this method. No postoperative anastomotic complications occurred. Conclusion : This surgical procedure is different from traditional anastomosis in many key steps and has clinical application value in preventing anastomotic leakage, stenosis and reflux esophagitis.