机械吻合在食管癌及贲门癌消化道重建术中的应用

Application of mechanical anastomosis in reconstruction of alimentary tract for patients with esophageal and cardiac carcinoma

摘要: 目的:探讨器械吻合在食管癌、贲门癌消化道重建手术中的应用价值。方法:使用一次性吻合器对56例食管癌、贲门癌切除后进行机械吻合消化道重建。结果:全组吻合顺利,吻合时间10 min,术后无死亡。术后发生吻合口漏1例,吻合口狭窄3例,反流性食管炎3例,肺部感染2例,心律失常8例,均经积极保守治疗好转。结论:食管胃吻合术是安全可靠的,可减轻手术创伤,降低并发症的发生率。

Abstract: Objective: To investigate the practical value of mechanical anastomosis in reconstruction of alimentary tract for patients with esophageal and cardiac carcinoma.Methods: Esophagogastrostomy was performed in 56 cases who had undergone excision of esophageal and cardiac carcinoma.Results: The operation was successful in all the cases and the time for anastomosis was no more than 10 minites.No one died after the operation.Anastomatic leakage occurred in 1 case,anastomatic narrowness in 3 cases,reflux esophagitis in 3 cases,infections of the lungs in 2 cases and arrhythmia in 8 cases.All the patients with the above-mentioned complications were cured by conservative treatments.Conclusions: Esophagogastrostomy with mechanical suture is safe and reliable,with the advantages of less operation trauma and less ocurrence of complications.