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1987年本院采用改良食管胃前壁吻合术加胃壁折叠缝合治疗食管、贲门癌35例,术后未发生吻合口瘘及反流性食管炎,现报告如下: 临床资料本组35例中,男26例,女9例。年龄最大65岁,最小42岁。贲门癌20例,食管下段癌11例,中下段癌4例。行弓下吻合31例,弓上吻合4例。术后并发肺炎、单纯性脓胸各1例。手术方法:病变切除后,游离胃大小弯侧至幽门部,保留胃大弯侧血管弓。游离正常食管4～5 cm,在胃底(或残胃)的最高
In 1987, 35 cases of esophageal and cardiac cancer were treated with modified anastomosis of the esophagogastric anastomosis plus gastric wall folding suture. No postoperative anastomotic leakage and reflux esophagitis occurred. The report is as follows: Clinical data of this group of 35 patients, There were 26 males and 9 females. The oldest is 65 years old and the youngest is 42 years old. There were 20 cases of cardiac cancer, 11 cases of lower esophageal cancer, and 4 cases of middle-lower cancer. Underwent bow anastomosis in 31 cases and bow anastomosis in 4 cases. Postoperative pneumonia and simple empyema occurred in 1 patient each. Surgical methods: After the resection of the lesion, free stomach size bent side to the pylorus, retaining the urethral arch of the greater curvature of the stomach. Free normal esophagus 4 to 5 cm, highest in the fundus (or stomach)