摘要
目的:比较贲门癌手术治疗手法和吻合器重建消化道的手术时间,并发症及死亡率。方法:1981年1月至2001年12月我科共施行贲门癌手术140例。按手法吻合和吻合器吻合重建消化道分为两组,手法吻合组52例,吻合器吻合组87例。结果:手法组手术时间为(254±98)min,器械组为(211±87)min(P<0.05)。肺部感染手法组6例,器械组8例,切口感染手法组1例,器械组2例。吻合口狭窄两组各1例,吻合口瘘和术后出血手法组分别为2例和1例,器械组无吻合口瘘和术后出血。手法组死亡1例,器械组无死亡。结论:可见吻合器吻合重建消化道可节约手术时间,减少手术并发症。
Objective To campare the operating duration,morbidity and mortality in gastrointestinal reconstruction after surgical treatment of carcinoma of gastric cardia between manual and stapler anastomoses.Method From January1981to December2001,140patients underwent surgical treatment of carcinoma of gastric cardia.The patients were divided into two groups according to the method of gastrointestinal reconstruction.There were53patients in group A in which anastomosis was performed with manual proce-dure and87patients in group B with stapler.Results The mean operation duration was(254±98)minutes in group A and(211±87)minutes in group B respectively(P<0.05).Pulmonary infection and incision infection occurred in6and1patients respectively in group A,whereas8and2patients respectively in group B.Anastomotic stenosis occurred in1patient in both groups.Two patients were complicated with leakage,1with postoperative bleeding and1died in group A,but no such complications were found and none died in group B.Conclusion For gastrointestinal reconstruction,the use of stapler can shorten the operation duration and reduce overall morbidity.
出处
《吉林医学》
CAS
2003年第3期238-239,共2页
Jilin Medical Journal
关键词
贲门癌
手术治疗
胃肠道重建
吻合器
Gardianeoplasm
Stapler
Surgical treatment
Reconstruction
