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目的探讨器械吻合在食管癌、贲门癌切除后消化道重建手术中的应用方法和技巧,以及器械吻合并发症的预防方法。方法回顾性分析我院在2005年6月至2009年12月期间的食管癌、贲门癌切除后应用国产一次性消化道圆型吻合器进行器械吻合重建消化道共276例患者的临床资料。结果全组吻合中发现问题17例(6.16%),余吻合顺利。发生术后吻合口并发症9例(3.26%),包括吻合口瘘1例(0.36%),吻合口出血3例(1.09%),吻合口狭窄5例(1.81%)。结论食管胃器械吻合术是安全可靠的,是减少吻合口并发症的有效技术,规范的操作,必要的技巧,可进一步降低吻合口并发症的发生率。
Objective To investigate the application methods and techniques of instrument anastomosis in the reconstruction of esophageal and gastric cardia after digestive tract reconstruction, and to prevent the coincidence of instruments. Methods The clinical data of 276 patients who undergone esophageal and gastric cardia resection in our hospital from June 2005 to December 2009 with homemade disposable gastrointestinal stapler for reconstruction of digestive tract were retrospectively analyzed. Results A total of 17 cases found an anastomosis (6.16%), more than a smooth fit. There were 9 cases (3.26%) of postoperative anastomotic complications including anastomotic fistula in 1 case (0.36%), anastomotic bleeding in 3 cases (1.09%) and anastomotic stenosis in 5 cases (1.81%). Conclusion Anastomosis of esophagogastric device is safe and reliable, which is an effective technique to reduce anastomotic complications, standard operation and necessary skills to further reduce the incidence of anastomotic complications.