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近四年来,我科为157例食道贲门癌患者施行了手术切除及其胃食道重建术.其中113例行手工吻合术,44例行吻合器吻合术.本文主要报导了使用胃食道吻合器的体会,并重点讨论了影响吻合口失败的因素.本组手工吻合后瘘的发生率为7%(8/113);而用吻合器吻合的病例中,无一例发生吻合口瘘.所以,使用吻合器除了简便手术操作、缩短手术时间外,突出的优点是大大减少了吻合口瘘的发生率.值得推广普及应用.
In the past four years, our department has performed surgical resection and gastroesophageal reconstruction for 157 patients with esophageal and cardia cancers. Among them, 113 patients undergo manual anastomosis and 44 patients undergo staple anastomosis. This article mainly reported the use of gastroesophageal anastomosis. Experience, and focused on the factors that affect the failure of the anastomosis. The incidence of fistula after manual anastomosis in this group was 7% (8/113); while in the case of stapler anastomosis, there was no case of anastomotic leakage. Therefore, use Stapler in addition to the simple operation, shorten the operation time, the outstanding advantage is to greatly reduce the incidence of anastomotic leakage, it is worth promoting the popularization and application.