胃胃吻合术

Objective To investigate the application of tubiform stomach by complete mechanization in esophageal carcinosectomy and its superiority.

目的 探讨全机械化吻合管状胃成形在食管癌切除术中的应用及其优越性。

Results The nutrient canals were smoothly indwelt in all the patients; the complications such as anastomotic leakage, lung infection, infection in chest cavity, infection of incisional wound and obstacles in chest cavity and stomach evacuation in the patients receiving early enteral nutrition were much less than those in the patients receiving routine fluid infusion, no death occurred; the time for bowel sound recovery, anus aerofluxus and defecation after operation was much shorter.

结果 所有食管、贲门癌术中均顺利留置鼻肠管或营养管，早期肠内营养患者吻合口瘘、肺部感染、胸腔感染、切口感染、术后胸胃排空障碍等并发症发生率较传统常规补液组明显减少，无一例死亡发生。术后肠鸣音恢复时间、肛门排气和排便时间明显缩短。

Following sacrifice, some vomicas containing yellow and white liquor puris on the chest wall of 4 pigs were observed, which were wrapped but did not communicate the thoracic cavity. One artificial esophagus was not in place but found in the stomach. One artificial esophagus was twisted and formed an esophagus diverticulum. The false passage around the prosthesis formed so long as the animals survived more than 1 week, which was called as neo-esophagus.

动物处死后，从原胸壁切口开始进胸，4只动物见胸壁存在小脓腔，腔内见黄白色脓液，已包裹，与胸腔不相通，1只动物人工食管脱落后滞留于胃内；1只动物因术中吻合时缝合的人工食管过多且边距不均匀，导致人工食管扭曲，形成食管内嵌。1周时间人工食管周围形成假道，即&新生食管&，包绕人工食管。②

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。