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

作　　者：孙仲涛[1] 肖民[1] 

机构地区：[1]安徽省阜阳市人民医院胸外科,236000

出　　处：《蚌埠医学院学报》2008年第3期310-311,共2页Journal of Bengbu Medical College

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。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.

关 键 词：食管肿瘤 食管胃接合处 食管成形术 吻合术 外科 

分 类 号：R735.1[医药卫生—肿瘤] R655.4[医药卫生—临床医学]