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目的 探讨机械吻合在食管癌和贲门癌消化道重建中的应用效果。方法 对我院1995年 8月至 2 0 0 3年 4月间收治的 96例食管癌、贲门癌经机械吻合行消化道重建患者的临床资料 ,进行回顾性分析总结。结果 食管中段癌 12例 ,食管下段癌 2 8例 ,贲门癌 5 6例。主动脉弓上吻合 10例 ,弓下吻合 5 3例 ,经腹隔顶部吻合 3 3例。全组无吻合口瘘。吻合口狭窄 3例 ( 3 .1% ) ,切端癌残留 3例 ( 3 .1% )。结论 食管癌、贲门癌术中消化道重建机械吻合省时、省力 ,可显著降低吻合口瘘、吻合口狭窄及切端癌残留 ,提高手术质量。
Objective To investigate the application of mechanical anastomosis in gastrointestinal reconstruction of esophageal and cardia cancer. Methods The clinical data of 96 patients with esophageal and gastric cardia cancer treated by mechanical anastomosis in our hospital from August 1995 to April 2003 were retrospectively analyzed and summarized. Results There were 12 cases of middle esophageal cancer, 28 cases of lower esophageal cancer and 56 cases of cardiac cancer. Aortic arch anastomosis in 10 cases, 53 cases under the arch anastomosis, the anastomosis by the top of the anastomosis 33 cases. The whole group without anastomotic leakage. Anastomotic stricture in 3 cases (3.1%), 3 cases of residual cancer (3 .1%). Conclusions Esophageal and cardial carcinoma during operation of gastrointestinal reconstruction mechanical time-saving and labor-saving, can significantly reduce the anastomotic leakage, anastomotic stenosis and residual cancer, and improve the quality of surgery.