论文部分内容阅读
目的探讨食管空肠单层排线吻合法预防术后吻合口漏的疗效。方法分析1987年10月至2012年5月连续119例进展期胃癌全胃切除食管空肠单层排线吻合法的临床结果。结果手术死亡率为1.68%(2/119)。存活的117例中,术后均未发生吻合口漏和吻合口狭窄。有3例(2.52%)术后发生轻度返流性食管炎。结论食管空肠单层排线吻合法可减少进展期胃癌全胃切除术后吻合口并发症,简单、易学、安全、有效。
Objective To investigate the efficacy of esophageal jejunal monolayer wire anastomosis in preventing postoperative anastomotic leakage. Methods Clinical data of 119 patients with consecutive advanced gastric cancer treated by total gastrectomy and esophagogastrojejunal single-layer wire anastomosis were analyzed from October 1987 to May 2012. Results The operative mortality rate was 1.68% (2/119). Of the 117 surviving cases, no anastomotic leakage and anastomotic stricture occurred after operation. In 3 cases (2.52%) postoperative mild reflux esophagitis. Conclusion Esophageal jejunal monolayer cable anastomosis can reduce the complications after total gastrectomy for advanced gastric cancer, which is simple, easy to learn, safe and effective.