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自1986年7月至10月期间,我科在食管癌、贲门癌病人的手术治疗中,应用中国人民解放军第88医院研制的食管胃腔内弹力环扎吻合器进行食管、胃腔内吻合术,初步认为,该吻合器操作简单、吻合准确、造价低廉,可予推广。临床资料本组男6例,女4例,年龄30～60岁,平均52.8岁。食管癌7例(中段3例,下段4例),贲门癌3例。本组病人环扎成功7例,失败3例。失败者中,贲门癌2例,食管癌1例。无吻合口瘘、出血、感染、吻合口狭窄等并发症。脱管时间为10～48天,平均14天。排管时间,最短17天,最长66天。手术方法用气管插管静脉复合麻醉、右侧卧位。以食管中段癌为例,手术步骤如下:1.手术进路、显露、游离肿瘤、清扫淋巴结以及切开膈肌后的腹腔内操作,均与常
From July to October of 1986, our department applied esophageal intragastric elastic cerclage stapling device developed by the 88th hospital of Chinese People’s Liberation Army for esophageal and intragastric anastomosis in surgical treatment of esophageal and cardiac cancer patients. Initially, it is believed that the stapler is simple to operate, accurate and inexpensive, and can be popularized. Clinical data The group of 6 males and 4 females, aged 30 to 60 years, mean 52.8 years. There were 7 cases of esophageal cancer (3 cases in the middle segment and 4 cases in the lower segment) and 3 cases of cardiac cancer. The patients in this group were successfully cerclage in 7 cases and failed in 3 cases. Among the losers, there were 2 cases of cardiac cancer and 1 case of esophageal cancer. No anastomotic leakage, bleeding, infection, anastomotic stenosis and other complications. Detachment time is 10 to 48 days, an average of 14 days. Pipeline time, the shortest 17 days, the longest 66 days. Surgical methods used tracheal intubation intravenous anesthesia, right lateral position. Taking esophageal cancer as an example, the surgical procedure is as follows: 1. Intra-abdominal operations after surgical approach, exposure, tumor removal, lymph node dissection, and incision of the diaphragm