【摘要】 目的探讨预防食管胃吻合口瘘和吻合口狭窄的方法。方法使用吻合器进行食管粘膜和胃粘膜吻合。结果４４２例中，手工吻合８例，机械吻合４３４例，吻合成功率为９８．２％，术中失误率为２．３％，术后并发症发生率为９．３％，死亡率１．４％，未发生食管胃吻合口瘘和吻合口狭窄。结论食管粘膜和胃粘膜机械吻合操作简单、可靠，即可缩短手术时间，有效地预防食管胃吻合口瘘和吻合口狭窄的发生，又可以切除足够长度的食管，降低切缘残癌的发生率，是食管癌和贲门癌切除术中食管胃吻合的理想方法。更多还原

【Abstract】 Objective To delve an effective method to prevent anastomotic leakage and stenosis.Methods Staples were used to carry out mucosal anastomosis between the esophagus and stomach.Results Four hundred thirty four patients were so treated. The morbidity rate was 9.3% and the mortality rate was 1.4%. No leakage or stenosis was found in this series.Conclusion Using staples to perfonm mucosal anastomotis has the advantages of being simple and safe. Besides prevention of leakage and stenosis, sufficient length of resection of the esophagus helps reduce the likelihood of residual stump cancer recurrence.更多还原