贲门及食管下段癌两种切割缝合方式效果比较

A clinical study of straight-line cutting suture apparatus in the surgery of cardia and lower esophageal segment cancer

目的比较直线型切割缝合器和手工缝合两种方式在贲门癌或食管下段癌累及贲门手术中的应用效果。方法总结直线型切割缝合器的使用方法,并比较传统贲门癌切除术和采用直线型切割缝合器行贲门癌手术的手术时间和术后并发症的差异。结果使用直线型切割缝合器较手工缝合能缩短手术时间20～40 min(P<0.01),减少胸腔引流量(P<0.01)、降低肺不张发生率(P<0.05)。结论直线型切割缝合器在贲门及食管下段癌切除术中可以缩短手术时间,减少术后并发症,具有使用方便,吻合效果安全可靠等优点。

Objective To study the effectiveness of straight - line cutting suture apparatus in cardia cancer or lower esophageal segment cancer involving cardia surgery. Methods The use of straight - line cutting suture apparatus was summarized. The difference in operation time and postoperative complications between the traditional cardia cancer resection and the use of the straight - line cutting suture apparatus in cardia cancer surgery was compared. Results The use of straight - line cutting suture apparatus shortened the operation time by 20- 40 min （P 〈 0.01 ） , reduced the volume of postoperative chest drainage by 286 -76 ml（ P 〈 0. 0001 ） , and decreased atelectasis （ P 〈 0.05 ） significantly. Conclusions Use of straight - line cutting suture apparatus in eardia cancer and lower esophageal segment cancer can shorten the operation time and reduce postoperative complications.