頁籤選單縮合
題 名 | Replacement of the Esophagus with the Use of the Right Colon=右結腸食道再造術 |
---|---|
作 者 | 劉青彰; 郭紹陽; 李全森; 陳坤厚; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 1:1 民57.03 |
頁 次 | 頁21-28 |
關鍵詞 | |
語 文 | 英文(English) |
中文摘要 | 食道疾患如癌症及良性狹窄,所引致之吞嚥困難目前仍以手術治療為可效之方法。利用右結腸取代食道經胸骨後面至頸部吻合之再造手術為當前一般所採用。蓋右結腸之移植具有利之條件。 本文乃一初步報告,食道癌及良性狹窄各五例。此中除三例外,皆以右結腸及約八吋之末端廻腸行再造手術。由結果觀之,此種再造手術對良性狹窄效果極佳。對惡性腫瘤別手術宜分二階設實施;早期診斷,切除病灶當可獲致較佳之效果。 |
英文摘要 | 1.The use of the colon as a substitute for the esophagus is a well established surgical procedure. 2. The colon has adequate length for substitution, good blood supply to ensure viability, resists acid peptic digestion adequately, provides a functional channel without producing disturbing gastrointestinal symptoms. The reservoir and drgestive function of the stomach are undisturbed. 3. Many surgeons now prefer to use an isoperistaltic segment of the right colon meluding a portion of the terminal ileum throuh retrosternal channel for esophageal replacement. 4. The operation for cancer of the esophagus should be divided into two stages, i. e., the resective and reconstructrve stages. 5. Ten cases in which right colonic bypass of the esophagus is utilized are discribed. |
本系統中英文摘要資訊取自各篇刊載內容。