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目的探讨左侧进胸经食管床主动脉弓上食管胃吻合术的方法及并发症。方法对改进的 130例左侧进胸经食管床主动脉弓上吻合并用纵隔胸膜及大网膜包裹吻合与传统的 138例胸腔内主动脉弓上吻合的疗效进行临床分析。结果改进的吻合术式的术后并发症发生率明显低于传统的吻合术式 ,而吻合口漏、胃扩张无一例发生。改进的吻合术式并发症明显低于传统术式。结论改进的吻合术式具有切除彻底、治愈率高、并发症少等优点。
Objective To investigate the methods and complications of esophagogastric anastomosis on the left aorta into the esophageal bed. Methods The clinical data of 130 cases of modified left thoracic esophageal bed aortic arch anastomosed with mediastinal pleura and omentum wrapping anastomosis and traditional 138 cases of intrathoracic aortic arch anastomosis were analyzed. Results The improved incidence of postoperative complications of anastomosis was significantly lower than that of the traditional anastomosis, but none of anastomotic leakage and gastric dilatation occurred. Improved anastomosis complications were significantly lower than the traditional surgical procedures. Conclusion Improved anastomosis with radical resection, high cure rate, fewer complications and so on.