摘要
目的探讨器械吻合在食管癌、贲门癌切除后消化道重建手术中的应用方法和技巧,以及器械吻合并发症的预防方法。方法回顾性分析我院在2005年6月至2009年12月期间的食管癌、贲门癌切除后应用国产一次性消化道圆型吻合器进行器械吻合重建消化道共276例患者的临床资料。结果全组吻合中发现问题17例(6.16%),余吻合顺利。发生术后吻合口并发症9例(3.26%),包括吻合口瘘1例(0.36%),吻合口出血3例(1.09%),吻合口狭窄5例(1.81%)。结论食管胃器械吻合术是安全可靠的,是减少吻合口并发症的有效技术,规范的操作,必要的技巧,可进一步降低吻合口并发症的发生率。
Objective To investigate the applied method and technique of mechanical anastomosis in reconstruction of digestive tract for patients with esophageal carcinoma and cardiac carcinoma,and to explore the prevent methods of the complications of mechanical anastomosis. Methods The clinical data of 276 cases of esophageal carcinoma and cardiac carcinoma from June 2005 to December 2009 were retrospectively analyzed,who had been used the domestic disposable circular anastomat in surgery to reconstruct digestive tract.Results In the surgery anastomosis problems were found in 17 cases（6.16%）.After surgery,anastomosis complications occurred in 9 cases（3.26%）,in which anastomotic leakage in 1 case（0.36%）,anastomotic bleeding in 3 cases（1.09%） and anastomotic narrowness in 5 cases（1.81%）.Conclusion Mechanical esophagogastric anastomosis is safety and reliable,and it is an effective technique to reduce the incidence of anastomotic complications.Correct operation skill and necessary technique could further reduce the incidence rate of anastomotic complications.
出处
《临床医学》
CAS
2010年第12期5-7,共3页
Clinical Medicine
关键词
食管癌
贲门癌
器械吻合
吻合口瘘
吻合口狭窄
Esophageal carcinoma
Cardiac carcinoma
Mechanical anastomosis
Anastomatic leakage
Anastomotic narrowness.
