吻合器在经腹全胃切除术中的应用  

Use of tubular stapler in transabdominal total gastrectomy

作　　者：李成华[1] 王矛[1] 庄严[1] 沈铁骁[1] 

机构地区：[1]安徽省蚌埠市第三人民医院普外科,233000

出　　处：《蚌埠医学院学报》2006年第1期51-52,共2页Journal of Bengbu Medical College

摘　　要：目的：总结国产管状吻合器在经腹全胃切除术中应用的临床效果。方法：对58例胃癌经腹做全胃切除，应用国产管状吻合器进行消化道Roux-en-Y吻合术。结果：57例一次性吻合成功，1例吻合器吻合失败改行剖胸再吻合。无吻合口瘘及出血，术后随访0．5～2年，1例吻合口狭窄。结论：熟悉国产吻合器性能，操作得当，能明显地缩短手术时间，减少出血，减轻对组织的创伤，有利于术后恢复。Objective ：To evaluate the clinical value of domestic tubular stapler in transabdominal total gastrectomy. Methods：Fiftyeight cases of gastric cancer were treated by transabdominal total gastrectomy. Roux-en-Y modal of digestive reconstruction were accomplished after total gastrectomy for gastric cancer with domestic tubular stapler. Results： Fifty-seven cases were anastomosed by one stage,but I case had to be reanastomosed through the chest. No anastomotic leakage or hemorrhage was observed. During the follow-up of six monthes to two years, anastomotie stenosis occurred in one ease. Conclusions： Familiarity with the function of domestic tubular stapler and proper operation can significantly shorten the surgery time, reduce blood loss, and alleviate tissue damage, reaching a satisfactory outcome.

关 键 词：胃肿瘤 胃切除术 吻合器 吻合术 Roux-en-Y 

分 类 号：R735.2[医药卫生—肿瘤]