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目的:探讨机械吻合在食管中下段癌、贲门癌切除、胃-食管吻合术中的临床应用价值。方法:回顾性分析2002年1月—2006年12月306例患者经左胸切口食管中下段癌、贲门癌切除、食管-胃胸内管状吻合器吻合的临床资料与并发症的发生率。结果:机械吻合组手术时间短,并发症少。结论:机械吻合相比手工吻合在食管中下段癌、贲门癌切除胸内吻合中手术时间短、创伤小、并发症少,有较高的临床应用价值。
Objective: To investigate the clinical value of mechanical anastomosis in the treatment of lower esophageal carcinoma, cardiac resection and gastric-esophageal anastomosis. Methods: The clinical data and complication rates of 306 patients with left lower thoracic esophageal cancer, cardiac resection and esophagogastric stomach tube anastomosis were retrospectively analyzed from January 2002 to December 2006. Results: The operation time of mechanical anastomosis group was short, with fewer complications. Conclusion: Compared with manual anastomosis by mechanical anastomosis in the lower esophageal cancer, cardiac resection of intrathoracic anastomosis shorter operative time, less trauma, fewer complications, a higher clinical value.