Gastroesophageal Anastomosis Thoracic top high plus Mediastinal Pleural Tension Covered in Esophageal Carcinoma Operation
Objective To observe the operation of esophageal cancer with esophageal and gastric high thoracic apex anastomosis with mediastinal pleural cuts a cov-ered way to completely eliminate the operation after operation occurred fistula .Methods Randomly selected in our hospital 50 cases of esophageal cancer patients,all were left thoracotomy,esophagogastrostomy anastomotic mode use standard,which is consistent in the high thoracic top.Anastomotic all mechanical anastomosis,and then use the non wound line is not continuous strengthening suture a week;on both sides of the wall hanging in the pleural tension .The front end cover mouth with pleura reduces tension again.Results All the patients had no cases of anastomotic fistula,all recovered and discharged.Conclusion Gastro esophageal anastomosis with high chest top longitudinal diaphragm tension over the existing protection operation,many aspects of the anastomosis in esophageal cancer operation process,can effectively prevent the fistula occurred,and the operation method of high efficiency and easy to operate,convenient clinical.
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