Jiang Yuequan, chief of the Thoracic Tumor Center of Chongqing Cancer Hospital, innovated surgical anastomosis to successfully reduce the incidence of anastomotic leakage after complications of esophageal cancer from 15% to less than 2%, and greatly reduced the occurrence of reflux and stenosis. This innovative surgical technique has recently been published in the International Journal of Surgery. The surgical procedure was named "Jiang's anastomosis."
Jiang Yuequan introduced that the incidence of complications and surgical anastomosis are closely linked. Anastomotic stenosis in the operation is becoming larger, patients are prone to reflux "burn heart", need long-term anti-antacid drugs; small anastomosis, stenosis tends to form scars, resulting in patients can not eat, serious need for repeated expansion; Anastomotic leakage can easily cause death. The most traditional and most common is the "end-side" anastomosis, which is to match the esophageal port that is disconnected during surgery to the side wall of the other stomach. This method has a high incidence of anastomotic leakage and can easily lead to anastomotic stenosis. . Later, at home and abroad, there was a report of "side-to-side anastomosis." The two sides of the esophagus and the stomach were merged together. The interface is larger and not easy to narrow, but it is relatively prone to reflux, and it is also relatively prone to anastomotic leakage.
Since 2015, Jiang Yuequan has begun to improve the surgical anastomosis. On the basis of "side-to-side anastomosis," a segment of the esophagus was reinserted into the other end to ensure that there was no tension at the anastomosis site and the incidence of anastomotic leakage was reduced. Under normal circumstances, the anastomosis is open and the food is not obstructed through the anastomosis. When the intragastric pressure increases, the reflexed stomach wall acts as a one-way valve and is closed by pressure, which can prevent the contents of the stomach from flowing back into the esophagus, thus playing an anti-reflux function. "This kind of anastomosis can not only effectively ensure the blood supply to the anastomosis, but also reduce the leakage of the anastomosis, and can also reduce the occurrence of reflux and stenosis," Jiang Yuequan said.
From 2015 to 2017, Jiang Yue used the method of anastomosis to treat more than 300 patients. The incidence of anastomotic leaks fell below 2%, and there was no case of anastomotic stricture. (Correspondent Xiong Zhixiang special correspondent Cheng Fengmin)
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