Transesophageal Bed Did Bow Stomach Esophagus Anastomosis Super Chest Top Treatment Of Clinical Research

Objective:Esophageal cancer is a common thoracic surgery and frequently-occurring diseases, esophageal cancer treatment to surgical resection, upper section (tumor on 22-28cm) from incisors post-esophagectomy way more, Commonly used surgical methods (as the left breast, stomach esophagus anastomosis left neck and neck, chest, illustrates the right neck and left three incision, the stomach esophagus anastomosis neck left thoracotomy manual or mechanical stomach esophagus anastomosis aorta before, etc.) with aortic arch before surgery for a long time, complex operation, more complications. How to minimize post-esophagectomy brings the psychological and physical damage and reduce the incidence of complications, improve life quality, prolong life, is the study of the issues. Improved transesophageal bed do esophageal stomach chest top instruments for upperpunch post-esophagectomy anastomosis treatment with surgery and anesthesia way shorter hospitalization time is shortened, and complications of economic burden is significantly reduced, etc. In this way, to explore the stomach esophagus bed top devices do esophageal upper chest identical treatments esophageal design, operation and effect, research in basic-level hospitals in the process of application.Method:Since January 2005 to January 2010,I began to design and application of the stomach esophagus bed top devices do esophagus anastomosis upper chest esophageal cancer treatment, patients were 143 middle-upper section, located in about 3cm～10cm, averaging 5.7 cm. Clinical pathologic stage:Ⅱa 50 cases,Ⅱb 52 cases,Ⅲ41 cases, postoperative histopathologic examination results are squamous cell carcinoma. Sorting by common surgical treatment of our patients with esophageal middle-upper 244 patients, comparative analysis of two groups including surgical operation time, average blood transfusions, average number and anastomosis stricture rate and anastomosis.Results:A consistent success,136 patients fail in 7 cases, instead of the left hand. Follow-up of 126 cases (88.1%), and follow-up time 1～5 years.2 cases died, died in severe infections,1 case with respiratory failure. Usance anastomotic stenosis in 6 cases, the ShaShi expanders expansion 1～4 times ease or heal.Conclusion:Upper left thoracotomy esophageal patients between the top side after the application of incision, homebred stapling do esophageal bed after bow stomach esophagus anastomosis bow on top super breast surgery, difficult, for the technical requirements of the caster. But with normal digestive tract reconstruction after anatomical structure, fewer complications, shorten the length of time, reduce cost, the quality of life with patients and improve application of basic-level hospitals.