摘要
目的:评价 C(S)DH圆型吻合器在食管癌和贲门癌手术中的优缺点。方法: 1996年 1月至 2000年 1月,我科采用该吻合器进行了 600例食管、贲门癌切除及胸内或颈部吻合术,其中食管癌 410例,贲门癌 190例,颈部吻合 33例,胸顶吻合 20例,弓上吻合 357例,弓下吻合 190例。结果: 600例中无器械故障发生,颈部吻合口瘘 1例,术后出现吻合口狭窄 11例。结论:通过与另外两种常用的国产吻合器进行比较 ,作者认为 C(S)DH型圆形吻合器在上消化道重建手术中操作方便,安全可靠。
Objective: This study was designed to evaluate the merits and demerits of C(S)DH circular stapler in upper digestive tract reconstruction. Methods: Intrathoracic or cervical esophagogastric anastomosis was performed in 600 cases with esophageal or cardiac cancer using a kind of new stapler-C(S)DH circular stapler between January 1996 and January 2000. Of these 600 patients, 410 cases were esophageal cancer, 190 cases were cardiac cancer, 33 cases underwent cervical anastomosis, 20 cases underwent anastomosis at thoracic apex. Supra-aortic anastomosis was performed in 357 cases and subaortic anastomosis in 220 cases. Results: Cervical Anastomotic leakeage developed only in 1 case and benign anastomotic stricture was found in 11 cases. No instrumental failure occured. Conclusion: C(S)DH circular stapler can be used safely and reliably in upper digestive tract surgery.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
2001年第3期320-322,共3页
Chinese Journal of Cancer