摘要
目的 探讨采用不同种类、不同型号吻合管对食管胃吻合术后并发症发生率的影响。方法 应用GF Ⅰ型和WGW Ⅰ型弯管型两种消化道吻合器 ,对 5 39例食管癌和贲门癌患者施行食管胃吻合术。结果 全组患者均无吻合失败。术后吻合口瘘发生率 1 3% ( 7/5 39) ,吻合口狭窄率 1 8% ( 10 /5 39) ,死亡率 0 6 %( 3/5 39)。结论 采用 31号GF Ⅰ型吻合器进行弓下吻合 ,2 6号WGW Ⅰ型吻合器进行胸顶以上吻合 ,可减少跨弓吻合 ,对降低术后并发症发生率有一定帮助。
Objective To evaluate effects of different rinds stapler to postoperative complications of esophagogastic anastomosis.Methods Esophagogastic anastomosis was performed with the stapler GF Ⅰ and WGW Ⅰ in 539 patients with carcinoma of the esophagus and cardia.Results There was no anastomosis failure with this mechanical technique.The overall incidence of anastomotic leakage was 1.3%(7/539) and anastomotic stricture 1.8%(10/539).The clinical results indicate that the stapling technique for esophagogastic anastomosis is better than others.Conclusion Choosing suitable stapler is good to decrease the incidence of postoperative complications.
出处
《中国基层医药》
CAS
2004年第11期1343-1344,共2页
Chinese Journal of Primary Medicine and Pharmacy
