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目的：评价 C(S)DH圆型吻合器在食管癌和贲门癌手术中的优缺点。方法： 1996年 1月至 2000年 1月，我科采用该吻合器进行了 600例食管、贲门癌切除及胸内或颈部吻合术，其中食管癌 410例，贲门癌 190例，颈部吻合 33例，胸顶吻合 20例，弓上吻合 357例，弓下吻合 190例。结果： 600例中无器械故障发生，颈部吻合口瘘 1例，术后出现吻合口狭窄 11例。结论：通过与另外两种常用的国产吻合器进行比较 ,作者认为 C(S)DH型圆形吻合器在上消化道重建手术中操作方便，安全可靠。
Objective: To evaluate the advantages and disadvantages of C (S) DH circular stapler in esophageal and cardiac surgery. Methods: From January 1996 to January 2000, 600 cases of esophageal and gastric cardia resection and intrathoracic or cervical anastomosis were performed in our department with 410 cases of esophageal cancer, 190 cases of cardia cancer, and neck anastomosis 33 cases, 20 cases of anastomosis of the chest, 357 cases of anastomosis on the bow and 190 cases of anastomosis under the bow. Results: There was no mechanical failure in 600 cases, 1 case of anastomotic fistula in the neck and 11 cases of anastomotic stenosis after operation. Conclusion: Compared with the other two commonly used domestic staplers, the authors believe that the C (S) DH circular stapler is easy to operate and safe in the upper gastrointestinal reconstructive surgery.