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我科于1986年2～10月,联合应用上海GF-1型消化道吻合器和消化道缝合器,对57例食管贲门癌作食管胃和食管空肠吻合术,术后无一例吻合口瘘或其他严重并发症,现将体会介绍如下: 临床资料男性48例,女性9例,年龄最小42岁,最大73岁。贲门癌47例,其中作食管与残胃胸内弓下吻合者41例,非进胸食管与残胃后纵隔吻合3例,食管与空肠端侧Roux-Y吻合3例。食管下段癌10例,其中食管与胃在弓上吻合者8例,弓下吻合2例。全组术后无吻合口瘘,无手术死亡。发生吻合狭窄1例,经食管扩张好转。手工吻合操作二次失败后改用吻合器吻合成功1例。本组全部联合使用上海医疗器械厂生产的GF-1型28号口径管型吻合器和消化道缝合器。
In our department from February to October 1986, Shanghai GF-1 digestive tract stapler and digestive tract stapler was used in combination to perform esophageal and esophageal jejunostomy for 57 patients with esophageal and cardiac cancer. No postoperative anastomosis or fistula was performed. Other serious complications are described as follows: Clinical data 48 males and 9 females, youngest 42 years old, maximum 73 years old. There were 47 cases of cardiac cancer, of which 41 were esophageal and residual intrathoracic arch anastomosis. 3 cases were non-infiltrated esophagus and posterior gastric mediastinum, and Roux-Y between the esophagus and jejunum were in 3 cases. There were 10 cases of lower esophageal cancer, of which 8 cases had anastomosis between the esophagus and stomach, and 2 cases had anastomosis under the arch. There was no anastomotic fistula in the whole group and no operative death occurred. Anastomotic stenosis occurred in 1 case and the esophageal dilatation improved. After the second failure of the manual anastomosis operation, one patient was successfully converted to a stapler. All the patients in this group used the GF-1 28-gauge tubular stapler and digestive tract stapler manufactured by Shanghai Medical Instrument Factory.