摘要
目的 探讨国产GF—Ⅰ型吻合器附加食管斜形切除新方法预防吻合口并发症的临床效果。方法 1992年 4月至 2 0 0 3年 3月连续对食管中段癌采用弓上机械吻合 ,在切除肿瘤上端食管时 ,与食管长轴呈 3 5°～ 45°斜形角度 ,常规胃底组织包埋加固吻合口。结果 术后 3周钡剂造影 ,吻合口均通畅 ,呈规则或不规则椭圆形。无吻合口瘘 ,仅 1例术后 4个月发生狭窄 ,经扩张置管后治愈。胃液返流情况 :明显返流占 16 2 % ;轻度返流占 45 9% ;无返流占 3 7 8%。结论 此方法能明显改进机械吻合效果 ,显著降低吻合口瘘、狭窄及胃液返流等并发症 ,具有临床实用价值。
Objective To investigate the clinical efficacy prevention of anastomic complication, of the sloped- esophagectomy and mechanical anastomosis in esophageal cancer surgery. Methods Retrospective study on 143 sequential patients with esophageal cancer from April,1992 to March,2003.These patients were underwent sloped-esophagectomy at angle 35°-45° to the axis of esophagus,Esopha-gastric end-to-side mechanical anastomosis superior the aortic arch with GF-I type. Then anastomic opening was enclosed by gastric wall circularly. Results No anastomic stricture was found in barium anastomogram in three weeks after the operation,but one was found in the fourth month. No anastomic oral fistula was found. In 16.2% severe gastric refluxes were occurred,In 45.9% mildly gastric refluxes were occurred,In 37.8% no gastric reflux were occurred. Conclusions This operation type could improve the efficacy of mechanical anastomosis and reduce the morbidity of anastomic oral fistula, anastomic stricture and gastric refluxes obviously, and would be practical worth in esophageal cancer surgery.
出处
《河南肿瘤学杂志》
2004年第6期420-421,共2页
Henan Journal of Oncology
关键词
食管癌
机械吻合
食管斜形切除
吻合口并发症
esophageal cancer
mechanical anastomosis
sloped-esophagectomy
anastomic complication
