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目的:总结管型吻合器在食道癌、贲门癌手术中使用的临床经验。方法:食道癌、贲门癌切除后,使用管型胃肠吻合器行胃食道主动脉弓上或弓下机械吻合术。结果:一次性吻合成功85例,失败1例,改为手工吻合,出现胃瘘1例,吻合口瘘2例,吻合口狭窄6例,返流性食道炎12例,均为轻度,术后半年内无死亡病例。结论:食道癌、贲门癌术中使用机械吻合,各种并发症发生率降低,临床操作方便简单,值得推广。
Objective: To summarize the clinical experience of tube stapler in esophageal and cardiac surgery. Methods: After esophageal cancer and gastric cardia resection, we used the tube type gastrointestinal stapler to perform mechanical anastomosis on or under the aortic arch of the gastrointestinal tract. Results: One-time anastomosis was successful in 85 cases and failed in 1 case. The results of manual anastomosis were 1 case of gastric fistula, 2 cases of anastomotic fistula, 6 cases of anastomotic stenosis and 12 cases of reflux esophagitis. All cases were mild, No death after six months. Conclusion: esophageal cancer, cardia cancer surgery using mechanical anastomosis, the incidence of complications reduced, clinical operation is simple and convenient, it is worth promoting.