摘要
对９６８例食管（贲门）癌手术行吻合器重建食管胃吻合口状态的术后观察及并发症分析。本组食管癌４５５例，贲门癌５１３例，术后吻合口瘘发生率０．８３％，吻合口狭窄０．４１％，５年生存率３０．５％，１０年生存率２０．５％，通过用食管胃造影及胃镜的术后观察吻合口状态的动态变化，认为吻合口直径平均２１ｍｍ，吻合口随术后时间的延续无逐渐狭窄的改变。吻合口周缝钉随术后时间延长逐渐脱落，胃包套吻合口起到了一定抗返流作用。
The authors report on the survey made on the anastomotic stoma following stapler resection of cancers in 455 cases of esophagus and 513 cases of the cardia with reference to the postoperative complications. Survey comprised of barium meal examination and gastroscopy. The results showed that 5,10year survival rates were 30.5% and 20.5% respectively. Stenosis of the stoma occurred in 0.41% of the patients, fistula formation in 0.83%, all were lower than those reported in domestic literature.The staples fell off with time.The authors consider that gastric wall encircling and foldingin at the anastomosis play a role in the prevention of regurgitation, and that stapling resection is an advisable technique in the removal of esophageal or cardiac cancer.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1998年第1期5-7,共3页
Chinese Journal of Clinical Oncology
