中外医学研究Issue(32)：17-18,2.
食管癌、贲门癌术后胸胃瘘20例临床分析
A Clinical Analysis of 20 Cases of Thoracic Gastric Fistulas after Esophagectomy and Cardia Resection/
丁国文 1陈锁成 1孙斌 1董长青 1唐巍峰 1施益军 1邵爱中 1孙扬永 1顾海勇1
作者信息
- 1. 江苏大学附属人民医院 江苏 镇江 212002
- 折叠
摘要
Abstract
Objective:To investigate the treatment of thoracic gastric fistulas after esophagectomy and cardia resection.Methods:Twenty cases with thoracic gastric fistulas after esophagectomy and cardia resection were enrolled in this study.12 cases with early gastric fistula and lager fistula were re-operated. Including gastric fistula repair (7 cases),colon replace esophagus (2 cases),re-anastomosis (2 cases) and dissection surgery (1 cases).8 cases with small fistulas in advanced gastric fistula were treated by conservative treatment.Including thoracic drainage (2 cases) and fistula drainage (6 cases).Results:Seventeen cases were cured,3 patients died,the mortality rate is 15%.Conclusion:The treatment of thoracic gastric fistulas after esophagectomy and cardia resection were depend on the time and size of fistulas.Early fistula and large fistula of advanced gastric fistula select operation.large fistula of advanced gastric fistula prefer conservative treatment.关键词
食管癌/贲门癌/胸胃瘘Key words
Esophageal carcinoma/Cardia carcinoma/Thoracic gastric fistulas分类
医药卫生引用本文复制引用
丁国文,陈锁成,孙斌,董长青,唐巍峰,施益军,邵爱中,孙扬永,顾海勇..食管癌、贲门癌术后胸胃瘘20例临床分析[J].中外医学研究,2012,(32):17-18,2.
