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吻合器在胃癌经腹全胃切除、消化道重建术中的应用
引用本文:黎才海,杨世杰,舒味冰,饶华民.吻合器在胃癌经腹全胃切除、消化道重建术中的应用[J].实用癌症杂志,2001,16(2):191-192.
作者姓名:黎才海  杨世杰  舒味冰  饶华民
作者单位:330029,江西省肿瘤医院
摘    要:目的:总结国产管状吻合器在胃癌经腹全胃切除术中应用的临床效果。方法对155例胃癌经腹做全国切除,应用国产管状吻合器完成空肠侧侧吻合92例,端侧Y型吻合63例,结果153例一次性吻合成功,2例吻合器合失败改行剖胸再吻合,无吻合口瘘及出血,术后随访0.5-2年,无吻合口狭窄发生。结论熟悉国产吻合器性能,操作得当,可取得满意的效果。

关 键 词:胃癌  全胃切除  吻合器  消化道重建术
文章编号:1001-5930(2001)02-0191-02
修稿时间:2000年12月29

The Use of Domestic Tubular Stapler in Transabdominal Total Gastrectomy for Gastric Cancer
LI Cai hai,YANG Shi jie,SHU Wei bing,et al..The Use of Domestic Tubular Stapler in Transabdominal Total Gastrectomy for Gastric Cancer[J].The Practical Journal of Cancer,2001,16(2):191-192.
Authors:LI Cai hai  YANG Shi jie  SHU Wei bing  
Affiliation:LI Cai hai,YANG Shi jie,SHU Wei bing,et al. Jiangxi Provincial Cancer Hospital,Nanchang,330029
Abstract:Objective To study the clinical value of domestic tubular stapler in transabdominal total gastrectomy for gastric carcinoma.Methods 155 cases of gastric cancer were treated with transabdominal total gastrectomy.92 cases of side to side Braun anastomoses and 63 cases of Y type anastomoses were accomplished with domestic stapler.Results 153 cases were one shotly anastomosed,but two cases had to be reanastomosed through chest.No anastomotic leakage and hemorrhage was discovered in perioperative period.After a follow up of six monthes to two years,no anastomotic stenosis occured.Conclusion Being familiar with the function of domestic tubular stapler and operating appropriatly will lead to a satisfactory outcome.
Keywords:Gastric cancer  Total gastrectomy  Stapler
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