应用吻合器经腹贲门癌根治术

Radical Transabdominal Operation Using EEA Stapler for Cardiac Carcinoma

目的 探讨采用管型吻合器经腹部施行贲门癌根治术在临床应用中的价值。 方法 对 1990年至 2 0 0 0年经腹部采用管型吻合器施行贲门癌根治术 40 2例进行回顾性分析。 结果 根治性切除率 6 7.7% ( 2 72 /40 2 ) ,各种并发症发生率 2 % ( 8/40 2 ) ,住院死亡率 1% ( 4 /40 2 ) ,后两者均明显低于开胸手术。 结论 经腹部采用管腔式吻合器施行贲门癌根治术 ,并发症发生率低 ,住院死亡率低 ,对患者呼吸循环系统影响小 ,对提高其生存质量、生活质量有重要意义。

Objective To evaluate the clinical application of radical transabdominal operation for cardiac carcinoma using the EEA (end-to-end anastomosis) stapler. Method 402 patients underwent curative intent due to cardiac cacrcinoma from 1990 to 2000. The clinical effects of transabdominal operation for cardiac carcinoma using the medical EEA stapler were investigated retrospectively. Results 67.7% (272/402) of the cases got radical dissection. The incidence of diversion complication was 2% (8/402). The in-patients mortality was 1% (4/402). The above indexes were lower than those in the thoracotomy approach significantly ( P <0.05). Conclusion The study shows that the approach decreases the incidence of diversion complication and the post-operative mortality significantly, and exerts little effect on the respiratory and circulatory system, thus improves the patients' living quality.