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我院胸外科自1989年1月至1995年12月应用上海手术器械六厂生产的GF—Ⅰ型消化道吻合器(以下简称吻合器)行食管胃、肠吻合350例,现就吻合器的使用结合本组病例进行分析和讨论。临床资料 350例中,男57例,女93例。年龄32～78岁,平均55岁。其中食管上段癌5例,中段癌183例,下段癌64例,贲门癌142例,胃癌6例。行左开胸者343例(包括左胸腹联合切口),右开胸4例,经腹切口3例。癌切除后行食管胃颈部吻合2例,超胸顶吻合9例(吻合平面在胸顶以上,相当于颈部吻合),弓上吻合92例,弓后吻合40例,弓下吻合199例,膈下吻合8例,弓下和
In our hospital from January 1989 to December 1995, we used the GF-I type digestive tract stapler (hereinafter referred to as the stapler) produced by Shanghai Surgical Instrument No. 6 to perform 350 cases of esophageal and gastric anastomosis. Use this combination of cases for analysis and discussion. Clinical data 350 cases, 57 males and 93 females. Ages 32 to 78, average 55 years old. There were 5 cases of upper esophageal carcinoma, 183 cases of middle carcinoma, 64 cases of lower carcinoma, 142 cases of cardia carcinoma, and 6 cases of gastric carcinoma. There were 343 cases of left chest opening (including the left thoracoabdominal incision), 4 cases of right thoracotomy, and 3 cases of abdominal incision. After cancer resection, 2 cases of esophagogastric and neck anastomosis were performed, 9 cases were superthoracic anastomosis (the anastomosis plane was above the chest top, which was equivalent to cervical anastomosis), 92 cases were anastomosed on the arch, 40 cases were anastomosed after arch, and 199 cases were anastomose under the arch , Underarm anastomosis in 8 cases, under the bow and