T形全机械食管胃颈部侧侧吻合在食管癌手术中的应用

摘要

Objective:To evaluate the clinical values of T-shaped total mechanical cervical esophagogastric side-to-side anastomosis(TSA) in esophagectomy.Methods: The clinical data were reviewed in 23 cases undergone TSA in our department between July 2015 and January 2016.The outcomes,including anastomosis time,anastomotic leak,postoperative stricture,anastomotic reflux and bleeding,were observed.Results: TSA was accomplished in all patients.The mean time for anastomosis was(18.5±2.4) min.No postoperative anastomotic stricture,refluex and bleeding occurred except for anastomotic leakage in one patient.Conclusion: The technique of TSA can be worthy of wider clinical recommendation for its simple performance,shortened anastomosis time and significantly reduced incidence of postoperative stricture.%目的:探讨T形全机械食管胃颈部侧侧吻合在食管癌手术中的应用价值.方法:回顾性分析2015年7月~2016年1月我科完成的23例T形全机械食管胃颈部侧侧吻合患者临床资料,观察吻合时间以及吻合口瘘、吻合口狭窄、吻合口返流、吻合口出血等并发症.结果:所有患者均顺利完成吻合,平均吻合时间(18.5±2.4)min,术后无吻合口狭窄、吻合口返流、吻合口出血发生,1例出现吻合口瘘.结论:T形全机械食管胃颈部侧侧吻合简便易行,缩短了吻合时间,且明显降低了吻合口狭窄的发生率,值得临床推广.