A stratified esophageal gastric anastomosis surgical point is: cut the esophagus and gastrostomy, the mucous layer to retain a little more muscular than the muscle and plasma is about more than lcm, and were consistent with muscular and mucosal layers. A stratified esophageal gastric anastomosis Its advantages are: esophagus, stomach mucosa and submucosa of the… Read More »
(1) colon, small intestine reconstruction of esophagus esophageal reconstruction method of colon surgery. First by Kelling and Vulliet used in 1911 until after the treatment of benign esophageal stricture is widely used in clinical. Esophageal reconstruction has the advantage of the colon: a sufficient length instead of the whole esophagus; colon environment, pH, about 6.5,… Read More »
Currently, the most commonly used is the GW-1 Stapler type circular stapler. The match component is circular, with two rows of nails were arranged in a circle button, there are circular cutter, and cutting using the synchronization is complete when the agreement. In accordance with the stapler diameter sizes from 34mm, 31mm, 28mm, 26mm four… Read More »
Commonly used separation of esophageal and cardiac resection of esophageal a. separation range. Gradual separation of esophageal cancer from the bottom up to the top. The following esophageal cancer and cancer of all over the upper edge of at least 5cm long esophagus, should be isolated, removed. Left inferior ligament, hilar Department and esophageal tissue… Read More »
Help the stomach with his hands raised, but not forced traction and pressure pinch, but also should not use the clamp to stop bleeding stomach, so as not to damage the stomach blood supply which may result in tissue necrosis, perforation.Commonly used separation of esophageal and cardiac surgery a. Separation of the omentum stomach. Gastroepiploic… Read More »
According to the lesion, the size and nature of surgery (curative or palliative), etc. to determine the site of anastomosis. In the radical resection, subtotal for the esophagus, it often needs to do in the aortic arch of a stomach esophagus anastomosis. But when the tumor is obviously foreign invasion or lymph node metastasis, only… Read More »
A variety of stapler in esophageal surgery applications, not only shorten the operation time, reduce tissue injury and blood loss, but also difficult to complete by hand suture anastomosis is possible to improve the outcome. Mechanical anastomosis has been used for nearly 200 years of history. 1827, Marseille, France's Denans active metal developed a "hoop… Read More »
Right chest – upper abdomen middle – neck incision (Akiyama surgery). Mckeown described in 1985, this surgical procedure in the Ivor Lewis on the basis of an addition of a neck incision, avoiding the intrathoracic anastomotic thin danger.About esophageal cancer surgery (1) indications. For esophageal chest, the middle radical cancer surgery. Introduction to esophageal cancer… Read More »
Esophageal incision described (Lewis operation) is introduced in 1946, Lewis operative, also known as Ivor-Lewis surgery. Surgical incision through the right anterolateral or posterolateral incision and the abdominal incision. Esophageal resection according to tumor location and histological type. Lewis said: Because cancer is a multi-center, so they requested removal of the whole esophagus, stomach and… Read More »
Radiotherapy irradiation method 1. Exposure range settings The establishment of the scope and target irradiation: target is the actual violations of the scope of the tumor, including the primary lesion and regional lymph nodes, radiation include more up and down outside the region also include lesions that may exist around the section and sub-clinical and… Read More »