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1980～1988年间,本院为1300例贲门癌与食管癌病人进行了根治手术。其中,颈部吻合60例,弓上吻合440例,弓下吻合800例。术后发生吻合口狭窄再手术8例,其中颈部吻合口狭窄4例,弓上吻合口狭窄2例,弓下吻合口狭窄2例。吻合口狭窄的标准为钡剂检查吻合口在0.3cm以下。狭窄症状出现距首次手术时间最短1个月,最长4个月。早期的吻合口狭窄,均应通过食管扩张器进行扩张,大多能解除狭窄。如3次以上扩张无效者,说明瘢痕形成的管道较长,应行手术治疗。手术方法,大体有三种:1.游离与暴露原吻合口
Between 1980 and 1988, the hospital performed radical surgery for 1,300 patients with cardiac cancer and esophageal cancer. Among them, there were 60 cases of neck anastomosis, 440 cases of anastomosis on the arch, and 800 cases of anastomosis under the arch. Postoperative anastomotic stenosis occurred after reoperation in 8 cases, including anastomotic stenosis in 4 cases, anastomotic stenosis in 2 cases, and anastomotic stenosis in 2 cases. The standard for anastomotic stenosis is to check the anastomosis below 0.3cm. Symptoms of stenosis occurred one month from the first surgery and up to 4 months. Early anastomotic stenosis should be expanded through esophageal dilators, most of which can relieve stenosis. If more than 3 times ineffective expansion, indicating that the scar formation of the longer pipeline should be treated surgically. There are basically three types of surgical methods: 1. Free and exposed original anastomosis