【摘要】 目的　探讨机械吻合在颈段食管中的临床应用。方法　对 76例食管癌病人 ,术前病理诊断为鳞癌 74例 ,腺癌 2例。其中病变位于上段 12例 ,中段 4 8例 ,中下段 16例。手术时将全胸段及腹段食管切除 ,用消化道吻合器 ,经胸腔将颈段食管与胃作端侧吻合。术后 2 0h开始肠内滴注能全力。结果　全组病例均一次吻合完成 ,术后无一例出现吻合口瘘 ,无乳糜胸或喉返神经损伤等并发症。无手术死亡。结论　机械吻合具有操作简便、安全、可靠等优点 ,通过技术改进 ,也可用于颈段食管与胃吻合。术后早期肠内营养能提高机体免疫力 ,减少并发症发生。更多还原

【Abstract】 Objective To explore the clinical application of mechanical anastomosis in cervical esophagus. Methods\ Seventy-six patients with esophagus carcinoma were treated by resection of total thoracic and abdominal esophagi.The pathological diagnosis was squamous carcinoma in 74 cases and adenocarcinoma in 2 cases. The focal lesions were located in upper esophagus of 12 cases, in middle esophagus of 48 cases and in middle and lower esophagus of 16 cases. The GF-Ⅰtype digestive tract stapler was used to carry out cervical esophago-gastric anastomosis. Results \ All anastomosises were completed in single attempt without complications, such as postoperative fistula of anastomosis, chylothorax and recurrent laryngeal nerve injury and operative mortality. Conclusion Mechanical anastomosis is simple, safe and dependable. It can be used to carry out esophago-gastric anastomosis by technique modification.更多还原