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贲门癌是我县常见多发病,且中晚期多见。我院近7年来收治贲门癌562例。均采用我们设计改进的贲门癌切除吻合器吻合术,此术式可明显缩短手术时间,有效防止术后吻合口瘘、出血、狭窄、胸腔及膈下感染等并发症的发生。 1.临床资料 562例中男348例,女214例,年龄23～75岁,平均49岁。手术切除519例,左侧胸腹联合切口胸内吻合24例,膈下吻合429例,腹部切口膈下吻合42例,经胸切除12例。经腹全胃切除7例,残胃贲门癌切除5例,采用GF-Ⅰ型吻合器吻合504例,手工吻合15例。
Cardiac cancer is a common disease in our county, and it is more common in the middle and late stages. Our hospital has treated 562 cases of cardiac cancer in the past 7 years. All of them are designed to improve the anastomosis of cardiac cancer resection and stapler. This operation can significantly shorten the operation time and effectively prevent postoperative complications such as anastomotic leakage, bleeding, stenosis, chest infection and subphrenic infection. 1. Clinical data 562 cases of 348 males and 214 females, aged 23 to 75 years old, an average of 49 years old. Surgical resection was performed in 519 patients. There were 24 cases of intrathoracic anastomosis, 429 cases of subphrenic anastomosis, 42 cases of abdominal axillary anastomosis, and 12 cases of thorax resection. Seven cases underwent total abdominal gastrectomy, 5 cases underwent gastric cancer resection, and 504 cases were anastomosed with GF-I stapler and 15 cases were manually anastomosed.