吻合器在食管癌和贲门癌手术中的应用  

Application of Anastomat in the Operation of Carcinoma of Esophageal and Gastric Cardia

作　　者：李亮星[1] 崔刘宝[1] 樊长胜[1] 齐拥军[1] 

机构地区：[1]北京大学首钢医院,北京100041

出　　处：《亚太传统医药》2008年第2期71-73,共3页Asia-Pacific Traditional Medicine

摘　　要：目的:评价消化道圆型吻合器在上消化道重建中的应用情况。方法:我们在1995年11月～2007年11月期间应用圆型吻合器对364例食管、贲门癌切除者进行了机械吻合。其中男316例,女48例,年龄42～82岁;食管癌203例,贲门癌161例;弓上吻合207例,弓下吻合157例。结果:发生食管胃吻合口瘘10例,发生率2.7%;发生术后吻合口狭窄11例,占3.0%;术中吻合出现器械故障6例,占1.6%。结论:消化道圆型吻合器在上消化道重建手术中是安全可靠的,机械吻合是减少术后吻合口并发症的有效技术。Objective.. To evaluate the application of circular stapler in upper digestive tract reconstruction. Methods： We present a retrospective review of 364 patients with carcinoma of esophagus and cardia undergoing a stapled esophagogastric anastomosis from 1995 to Nov 2007. There were 316 males and 48 females with age ranged from 42 to 82 years. Carcinoma of esophagus were present in 203 patients and carcinoma of gastric cardia in 161 patients, superior aortic in 207 cases and inferior aortic in 157cases. Results： Anastomotic leakage occurred in 10 patients with an overall incidence of 2.7%, and benign anastomotic stricture was found in 11 patients with a rate of 3.0%. Instrumental failure occurred in 6cases with a rate of 1.6% as well. Conclusion： Circular stapler can be used safely and reliably in upper digestive tract surgery, and the stapled anastomosis is a effective technique to reduce the incidence of anastomotic syndrome.

关 键 词：吻合器 食管癌 贲门癌 

分 类 号：R571[医药卫生—消化系统]