管状消化道吻合器行食管胃胸内吻合无吻合口瘘报告

THE REPORT ABOUT USING MACHINE ANASTOMOSEESOPHAGUS AND STOMACH AND NONE ANASTOMOTIC LEAKAGE

本文报告县级医院及笔者在北京３０１医院进修期间使用国产ＧＦ－１型管状消化道吻合器，连续行食管胃胸内吻合术６０例，未发生吻合口瘘的体会。患者均为住院患者，其中食管癌３８例，贲门癌２２例。切除癌肿后，食管胃端侧全层内翻吻合均用吻合器完成，并用胃壁组织包埋吻合口１周。术后４例胸内出血、呼吸机能不全、胃排空障碍以及吻合口狭窄等并发症，除１例吻合口狭窄可能与吻合器本身有关外，其余并发症与吻合器无因果关系。临床体会：用吻合器行食管胃胸内吻合术，具有操作简便、安全、可靠、省时等优点，其效果明显优于手工吻合，是预防吻合口瘘，降低并发症的有效手段之一。

The experience about usingmachine anastomose successfully esophagus and Stomach after partial esophagus was cut in 60 patients-38 esophageal cancer and 22cardial Cancer. After using machineaanastomose end-to-side esophagus and stomch was sewed wrspped anastomotic cut. 59 case have anastomotic stenosis. This operation is safe and simple and convenient.