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吻合器在食管癌和贲门癌切除术的应用
引用本文:智会先,周福有,曹景峰,韩孝存,闫文堂,周美宏,梅平,韩焕成. 吻合器在食管癌和贲门癌切除术的应用[J]. 中国肿瘤临床, 1994, 0(8)
作者姓名:智会先  周福有  曹景峰  韩孝存  闫文堂  周美宏  梅平  韩焕成
作者单位:河南省安阳市肿瘤医院胸科!安阳市455000,河南省安阳市肿瘤医院胸科!安阳市455000,河南省安阳市肿瘤医院胸科!安阳市455000,河南省安阳市肿瘤医院胸科!安阳市455000,河南省安阳市肿瘤医院胸科!安阳市455000,河南省安阳市肿瘤医院胸科!安阳市455000,河南省安阳市肿瘤医院胸科!安
摘    要:报告我院自1982年2月至1987年底应用吻合器治疗食管癌和贲门癌207例的临床经验.其中食管癌171例,贲门癌34例,食管双原位癌2例;弓下吻合58例,弓上吻合122例,胸膜顶吻合27例.并发症发生率为16.4%,吻合口瘘发生率为2.4%,吻合口狭窄发生率为5.8%,手术死亡率为2.4%.本文还讨论了吻合口瘘和狭窄的发生原因和提高吻合技术的重要性.

关 键 词:食管癌  贲门癌  吻合器

Use of Stapler after Resection of Esophageal or Cardiac Carcinoma
Zhi Hui-Xian et al. Use of Stapler after Resection of Esophageal or Cardiac Carcinoma[J]. Chinese Journal of Clinical Oncology, 1994, 0(8)
Authors:Zhi Hui-Xian et al
Affiliation:Zhi Hui-Xian et al Department of Thoracic Surgery,Anyang Cancer Hospital,Anyang City,Henan
Abstract:207 cases of eso'phageal or cardiac carcinoma were resected with stapler device from 1982 through 1987. There were 171 cases with carcinoma of the esophagus. 34 cases with carcinoma of the cardia and 2 cases with double primary cancers of the esophagus and the cardia. The operative mortality rate was 2. 4%. The postoperative complication rate was 16. 4%. Among them,there were 5 anastomotic leaks(2. 4%) and 12 postoperative anastomotic strictures(5. 8%). This paper presents the technique of stapling device for anastomosis. The causes of occurrence of anastomotic leaks and strictures were discussed. The authors believe that with experience and improvement of anastomotic technique the operative hazards could be avoided insome patients.
Keywords:Esophageal carcinoma Cardiac carcinoma Stapler
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