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65例胃恶性肿瘤患者行全胃切除术,无吻合口瘘发生的主要体会是:1.改善病人的营养状况,纠正贫血、低蛋白血症和水电解质失衡是减少吻合口瘘和其他并发症的基础条件;2.预防膈下感染;3.空肠p型代胃y型办式吻合宋吻合口瘘发生率低;4.可靠的吻合,良好的血循环,吻合口无张力是预防吻合口瘘的关键;5.吻合器吻合可提高吻合质量,做好食管断端的荷包缝合是保障吻合器吻合成功的重要步骤;6.注意选择切口,保障显露满意、操作方便。
Sixty-five cases of gastric cancer underwent total gastrectomy. The main experience of the absence of anastomotic leakage was: 1. Improve the patient’s nutritional status, correct anemia, hypoalbuminemia and water and electrolyte imbalance is to reduce anastomotic leakage and other complications Basic conditions; 2. prevention of subgingival infection; 3. jejunum p-type generation of stomach type anaerobic anastomosis Song anastomosis low incidence; 4. reliable anastomosis, good blood circulation, anastomotic tension-free prevention of anastomotic leakage The key is; 5 stapler anastomosis can improve the quality of anastomosis, purse-string suture of the esophageal stump is an important step to ensure the successful stapling anastomosis; 6. Note that the choice of incision to ensure satisfactory exposure, easy to operate.