食管癌和贲门癌应用吻合器行食管胃吻合术的临床结果(附176例分析)  

Clinical Qresults of Esophagogastric Anastomotic Stapling in Strument for Esophageal and Cardiac Carcinoca

作　　者：张玮[1] 胡鸿藻[1] 汪涛[1] 田进涛[1] 宋小平[1] 李黎明[1] 

机构地区：[1]北京酒仙桥医院胸外科

出　　处：《北京医学》1992年第4期206-208,共3页Beijing Medical Journal

摘　　要：我院从1985～1990年间对176例食管癌和贲门癌采用了上海GF-Ⅰ型食管胃吻合器,其中食管胃主动脉弓上吻合术97例(55.1%)和弓下吻合术79例(44.9%)。使用26号吻合器92例,28号80例,31号4例。169例吻合口以胃套食管加大网膜覆盖,5例单纯胃套食管,2例既未套入亦未覆盖大网膜。术后吻合口瘘2例(1.1%)。作者们认为食管胃吻合器能降低吻合口瘘的发生串。During a 6-year period from 1985～1990,were used in 176 cases of esophageal and cardiac carcinoma. Among their supraaortic esophagogastric anastomosis was performed in 97 cases (55.1%) and infraaortic anastomosis in 79(44.9%). The staplers in 28 mm diameter were used for 92 cases, 28mm for 80 cases and 31mm for 4 cases. The esophaggastric anastomotic stomas of 169 cases were invaginated into the stomachs and wrapped with omenta In 5 cases, the stomas were invaginated into the stomachsonly, in 2 cases, the stomas were neither invaginated into the stomachs nor wrapped by the omenta. The postoperative anastomotic leakage was found in 2(1.1%) cases. The authors consider that the esophagogastric anastomotic stapling instrument may decrease the incidence of postoperative anastomotic fistular.

关 键 词：吻合器 食管肿瘤 贲门肿瘤 

分 类 号：R735.105[医药卫生—肿瘤]