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1987年2月至1998年应用上海GF—Ⅰ型管状消化道吻合器对97例食管癌、贲门癌手术切除后行食管胃机械吻合,效果良好。现总结如下。 1 临床资料 男79例,女18例。年龄40～79岁,平均59.9岁,其中50～69岁者77例,占79.4％。食管癌53例,病变长度3～6cm,平均4.7cm,其中,中段癌39例(73.6％),下段癌14例(26.4％),术前放疗者4例。贲门癌44例。食管癌53例临床病理分期(TNM)为Ⅰ期2例(3.8％),Ⅱa期27例(50.9％),Ⅱb型16例(30.2％),Ⅲ期8例(15.1％)。食管胃弓上吻合39例,胸顶吻合7例,弓下吻合51例,使用28或31号吻合器。
From February 1987 to 1998, Shanghai GF-I type tubular digestive tract stapler was used to perform esophageal and gastric mechanical anastomosis after surgical resection of 97 cases of esophageal or cardiac cancer. The summary is as follows. 1 Clinical data 79 males and 18 females. Age 40 to 79 years old, average 59.9 years old, of which 50 to 69 years old 77 cases, accounting for 79.4%. In 53 cases of esophageal cancer, the lesions were 3 to 6 cm in length, with an average of 4.7 cm. Of these, 39 (73.6%) were middle carcinomas, and 14 (26.4%) were lower carcinomas. Four cases were preoperative radiotherapy. There were 44 cases of cardiac cancer. The pathological stage (TNM) of 53 cases of esophageal cancer was 2 cases (3.8%) in stage I, 27 cases (50.9%) in stage IIa, 16 cases (30.2%) in type IIb, and 8 cases (15.1%) in stage III. Esophagogastric bow anastomosis was performed in 39 cases, in which 7 cases were anastomosed on the chest top, 51 cases were anastomosed under the arch, and 28 or 31 stapling devices were used.