多种管状消化道吻合器在食管胃吻合中的应用

1986年2月至1999年1月应用沪产GF—Ⅰ型和常州产WGW—Ⅰ型弯管形两种消化道吻合器，对539例食管癌和贲门癌病人进行了食管胃吻合术，无吻合失败。术后吻合口瘘发生率1．3％(7，539)，吻合口狭窄率1．8％(10／539)，死亡率0．6％(3／539)。作认为：采用小切口，食管胃机械吻合操作简便，吻合可靠，价格便宜，手术时间短，术后病人痛苦小，住院时间短，节省了住院费用，减轻了病人经济负担；结合 本组病例，提出采用31号GF—Ⅰ型吻合器进行弓下吻合，26号WGW—Ⅰ型吻合器进行胸顶以上吻合，减少跨弓吻合，有助降低术后并发症的发生。

Effect of stapled anastomosis in esophagogastrostomy

Esophagogastric anastomosis were performed with the Stapler GF - I(made in Shanghai) and WGW - I(made in Changzhou)in 539 patients with Carcinoma of the esophagus and Cardia from February 1986 to January 1999. There was no anastomsis failure with the mechanical technique. The overall incidence of anastomotic leakage was 1 .3 % (7/539) and anastomotic stricture 1 .8% (10/539). The clinical results showed that the stapling technique for esophagogastric anastomosis was better than others. Conclusions the selection of suitable stapler is helpful to decreasing incidence postoperative complications.