摘要
收集我院1980.1~1987.12八年间的胸段食管癌和贲门癌切除后,食管胃吻合术359例,其中吻合器组207例,手缝组152例,两组病例的年龄、性别和病期相当,手术者大致相同,分组无选择。结果吻合器组的中数手术耗时(3时40分〕比手缝组(4时30分)短,中数术后住院时间亦从20天缩短至16天。吻合口宽度>lcm者,前者占85.9%,后者仅占78.8%;前者有97.O%,后者仅93.8%的病例术后可进普食。吻合器组的吻合口瘘和术后死亡率分别为3.4%和1.0%,而手缝组则分别为5.3%和3.9%。轻、中、重度吻合口狭窄的发生率于前者分别为1.4%、0.5%和1.O%,而后者则分别为3.3%、2.6%总和0。可见吻合器组的效果比手缝组优。本文还对GF一I型吻合器的评价,吻合器大小的选择及操作程序进行了讨论。
In this paper we have collected 350 cases of esophagogas-anastomosis aft-er resecting the thoracic erophageal cancer and cardial cancer in our hosnitalpbetween Jan-198O and Dec.l987(207 cases with the stapler technique and 152 cases with the hand tech-nique).The age,sex and stage of those cases were similar in two groups at random.Themedian operating time with stapler(3 hours and 40 minutes) was shorter than that with hand(4 hours and 30 minutes).After operating,the median hospitalized time was decreased from20 days to l6 days The anastomotic size which was larger than l cm was 85.9% in the for-mer and 78.8% in the latter. After operatlng, 97.0%of the patients can have ordinary mealin the former, and only 93.8% in the latter.The anastomotic leakage and mortality rate were3.4%and 1.0%,respectively in the group with stapler,and were 5.3%and 3.9%, respecti-vely in the group with hand。 The slight.middle and strong anastomotic stricture rate were1.4%,O.5%and l.O%,respectively in the former,and 3,3%,2.6%and 0%。 respectivelyin the latter .In conclusion,the effect with stapler is better than that with hand. We alsodiscuss on GFI stapler about its evaluation selection of size and procedure.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
1994年第1期44-46,40,共4页
Chinese Journal of Cancer
关键词
贲门癌
外科手术
吻合器
食管肿瘤
Esophageal cancer Cardial cancer Surgical resection Stapler