112 例贲门癌两种吻合方法的比较研究

【摘要】 目的 探讨椭圆形手工吻合方法和传统的套入式式吻合方法在贲门癌手术中的应用价值。方法 回顾性分析2009年9月至2012年9月112例贲门癌患者手工圆形吻合和套入式吻合方法的资料。 结果 手工椭圆形吻合有1例吻合口漏和1例吻合口狭窄,吞咽顺利;有2例有轻度反酸;套入式吻合法有3例发生吻合口漏,有4例出现吻合口狭窄,则10例有胃食管返流(P<0.05),两组在手术时间和出血量无统计学差异(P>0.05)。结论 在贲门癌消化道重建中,手工椭圆形吻合法比套入式吻合法更能预防和减少吻合口漏和吻合口狭窄,并能预防返流性食管炎。

Comparative study on two anastomotic methods in 112 cases with cardiac carcinoma

Objective To investigate the difference between the manual oval anastomotic method and manual traditional anastomotic method in cardia cancer surgery.Methods A retrospective data were analyzed in 112 cases with cardiac carcinoma,who underwent of radical operation for cardiac carcinoma using both of anastomosis method from September 2009 to September 2012.Results Among 112 cases,anastomotic leakage of esophageal anastomosis occurred in four cases,of which three in traditional anastomosis group of patients,one in oval anastomosis group（P 0.05）.Stricture of esophageal anastomosis occurred in five cases,of which four in traditional anastomosis group and one in oval anastomosis group（P0.05）.Moreover,esophageal reflux occurred in twelve patients,in whom ten cases happened in traditional anastomosis group,two cases were in oval anastomosis group（P 0.05）.No differences were found in operative time and the amount of bleeding between two groups.Conclusion In the digestive tract reconstruction of cardiac cancer surgery,manual oval anastomosis can prevent and reduce anastomotic fistula and anastomotic stricture,and can prevent reflux esophagitis.