C(S)DH圆型吻合器在食管癌和贲门癌手术中的应用

目的：评价C（S）DH圆型吻合器在食管癌和贲门癌手术中的优缺点。方法：1996年1月至2000年1月，我科采用该吻合器进行了600例食管、贰门癌切除及胸内或颈部吻合术，其中食管癌410例，贲门癌190例，颈部吻合33例，胸顶吻合20例，弓上吻合357例，弓下吻合190例。结果：600例中无器械故障发生，颈部吻合口瘘1例，术后出现吻合口狭窄11例，结论：通过与另外两种常用的国产吻合器进行比较，作者认为C（S）DH型形吻合器在上消化道重建手术中操作方便，安全可靠。

Application of C(S)DH Circular Stapler in Surgical Management of Esophageal and Cardiac Cancer

Objective：This study was designed to evaluate the merits and demerits of C(S)DH circular stapler in upper digestive tract reconstruction. Methods：Intrathoracic or cervical esophagogastric anastomosis was performed in 600 cases with esophageal or cardiac cancer using a kind of new stapler-C(S)DH circular stapler between January 1996 and January 2000. Of these 600 patients, 410 cases were esophageal cancer， 190 cases were cardiac cancer， 33 cases underwent cervical anastomosis， 20 cases underwent anastomosis at thoracic apex. Supra-aortic anastomosis was performed in 357 cases and subaortic anastomosis in 220 cases. Results：Cervical Anastomotic leakeage developed only in 1 case and benign anastomotic stricture was found in 11 cases. No instrumental failure occured. Conclusion：C(S)DH circular stapler can be used safely and reliably in upper digestive tract surgery.