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本文介绍作者自1978年以来使用GF—Ⅰ型食管、胃管状吻合器对贲门部及食道病变切除后作胃食管吻合术的经验。并详细描述其操作步骤及注意事项。全组共74例,其中贲门癌41例,食道中下段癌29例,食管良性狭窄3例,食道静脉破裂出血1例。病变切除后作主动脉弓上吻合25例,主动脉弓下吻合42例,腹腔内吻合7例。术后并发吻合口瘘3例,吻合口狭窄5例。我们认为该吻合器结构轻巧,操作简便,效果可靠,值得广泛推广使用。
This article describes the author’s experience with gastroesophageal anastomosis after excision of the cardiac and esophageal lesions using the GF-I esophageal and gastric tubular stapler since 1978. And detailed description of its operating procedures and precautions. There were 74 cases in the whole group, including 41 cases of cardiac cancer, 29 cases of middle and lower esophageal cancer, 3 cases of benign esophageal stricture, and 1 case of esophageal venous bleeding. Aortic arch anastomosis was performed in 25 cases after the resection of the lesion, in which 42 cases underwent aortic arch anastomosis and 7 cases underwent intra-abdominal anastomosis. Postoperatively, there were 3 cases of anastomotic leakage and 5 cases of anastomotic stenosis. We believe that the stapler is lightweight, easy to operate, reliable, and worthy of widespread use.