上消化道重建器械吻合失败补救方法

The remedial measures of stapler failure in upper digestive tract reconstruction surgery

随着吻合器应用的推广,吻合器相关的并发症也随之出现。上消化道重建器械吻合失败包括两种情况,一种是术中即发现吻合失败;另一种是术后发现的吻合失败。前者应在术中即刻处理、术后严密观察。后者中吻合口狭窄应以先行胃镜下球囊扩张,如无效,则行二次手术;吻合口漏和出血应先行保守治疗,再根据情况选择二次手术。

With the application of the stapler, complications resulted from stapler have arisen. Stapler failure in upper digestive tract reconstruction surgery includes two conditions. One is stapler failure found during operation. The other is after operation. The former should be treated instantly during operation and observed closely. Anastomotie stricture of the latter should be treated by gastroseopic balloon dilation firstly. If the treatment is invalid, reoperation should be performed. Anastomotic leakage and bleeding should be managed by conservative treatment firstly. Reoperation should be performed based on patient＇ s condition.