消化道吻合器在食管胃超胸顶吻合中的作用

目的总结分析机械吻合用于食管胃胸内超胸顶吻合的临床意义。方法使用管状吻合器对98例食管癌行食管胃超胸顶吻合。结果所有病例吻合均一次完成,无手术死亡,亦无吻合口漏及喉返神经胸导管损伤,吻合口狭窄发生率为2.04%(2/98),切除端癌残留率1.02%(1/98)。结论胸内食管胃超胸顶机械吻合术可扩大食管癌切除范围,近似颈部吻合,吻合简便、省时、可靠、安全。

Application of digestive tract anastomotic device in super-cupula pleurae anastomosis of the esophagus and stomach

O bjective To evaluate the clinical value of mechanical anastomosis in super-cupul a pleurae anastomosis (using me-chanical anastomosis connecting esophagus and st omach above the diaphragm) of the esophagus and stomach within the tho-racic cav ity. Method A total of 98 cases of esophageal carcinoma were treated surgically by super-cupula pleurae anastomosis of the esophagus and stomach by anastomotic tube. Result All anastomoses were completed in single attempt without mortali-t y among the patients, who did not show signs of fistula of anastomosis or injury to recurrent laryngeal nerve and ductus tho-racicus. The incidence of anastomos is stricture was 2.04%(2/98), with tumor remnant rate of the resected end of 1.0 2%(1/98). Conclusion Mechanical esophagus and stomach anastomosis of super-cupu la pleurae in the thoracic cavity can expand the scope eligible for resection i n esophageal carcinoma, resembling neck anastomosis that is simple, quick, depen dable and safe.