食管、贲门切除术后传统的食管胃吻合方法都采用手工缝合。近十年来国内外已创制出消化道吻合器,以机械的方法来代替手工缝合,并已存国内推广使用。我院1983年12月～1988年12月,应用上海手术器械六厂生产的GF—Ⅰ型吻合器进行食管贲门癌手术707例,现报告如下。临床资料本组707例,男558例,女149例,年龄最大78岁,最小24岁。病变部位:食管上段癌3例;食管中段癌239例;食管下段癌99例;贲门癌366例。癌切除后行主动脉弓上吻合247例,胸顶7例,弓下453例,其中用GF—Ⅰ型26号吻合器吻合175例,28号吻合505例,31号吻合27例。 Traditional esophagogastric anastomosis after esophageal or cardiac resection is performed by manual suturing. In the past ten years, digestive tract staplers have been created both at home and abroad, and mechanical methods have been used instead of manual suturing, and have been used and promoted domestically. From December 1983 to December 1988 in our hospital, 707 cases of esophageal and cardiac cancer were treated with the GF-I type stapler manufactured by the Shanghai Surgical Instrument 6 Factory. The report is as follows. Clinical data The group of 707 cases, 558 males and 149 females, the oldest 78 years old, the youngest 24 years old. Lesions: 3 cases of upper esophageal cancer; 239 cases of middle esophageal cancer; 99 cases of lower esophageal cancer; 366 cases of cardiac cancer. Aortic arch anastomosis was performed after excision of cancer in 247 cases, in 7 cases in the top of the chest and in 453 cases in the lower arch, in which 175 cases were anastomosed with GF-I type 26, 505 cases were made on 28th, and 27 cases were made on 31st.