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bao liu zuo men zai zhong shang duan shi guan ai 70 li shou shu zhong de ying yong
Author(s): 
Pages: 515-516
Year: Issue:  6
Journal: Journal of Nantong University(Medical sciences)

Keyword:  食管癌贲门食管床内吻合术食管反流吻合口狭窄;
Abstract: 目的:探索用新术式治疗中、上段食管癌的可行性.方法:肿瘤距贲门齿状线近口端5.0 cm以上的病例,手术中保留贲门胃小弯延长原食管床,行食管与食管端端机械分层手工吻合.结果:1次吻合成功70例,隐性糖尿病1例术后3天发生吻合口瘘.经1~4年随访,吻合口狭窄4例,行吻合口扩张治愈2例,扩张效果不佳予食管支架治疗2例.结论:延长胃小弯、保留贲门、食管床内吻合的术式,明显提高食管癌患者手术后的生存质量.
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