【摘要】 目的　通过吻合器和吻合环的合理使用 ,改进胃切除术后胃肠吻合方法。方法　全胃或胃部分切除后 ,用吻合器或 /和吻合环完成消化道重建 ,包括食管空肠吻合、食管胃吻合、胃十二指肠吻合、胃空肠吻合和空肠端侧吻合等。结果　本组用吻合器或 /和吻合环完成消化道重建 182例 ,均为一次获得成功。无吻合口漏、出血及感染。术后 3～ 12个月随访复查胃镜或钡餐 ,仅 3例出现吻合口狭窄 ,余吻合口愈合良好。结论　在胃切除后消化道重建中 ,与传统手工吻合相比 ,吻合器和吻合环有方便、快捷、可靠等优点 ,大大提高了操作效率 ,缩短了手术时间 ;并有利于防止吻合口瘘或狭窄等。作者认为只要病人经济条件允许 ,尽量使用一次性吻合器和吻合环更多还原

【Abstract】 Objective To summarize the experience of using anastomotic apparatus and ring in the reconstruction of alimentary tract after gastrectomy. Methods Anastomotic apparatus or anastomotic ring was used to reconstruct alimentary tract after total or partial gastrectomy including esophagojejunostomy, esophagogastrostomy, gastroduodenostomy, gastrojejunostomy and jejunojejunostomy. Results The reconstruction of alimentary tract after gastrectomy using anastomotic apparatus and ring was successfully completed once in 182 cases. There were not anastomotic leakage, bleeding and infection after operation. During the follow-up period of 3～12 months, gastroscope or barium meal examinations showed that only 3 cases had the stricture of anastomotic entrance, and the other patients recovered well. Conclusion Compared with using traditional manual anastomosis to reconstruct alimentary tract after gastrectomy, anastomotic apparatus and ring had the advantages of convenience, simplicity, rapidity and reliability, and could raise operative efficiency greatly, shorten operative time and prevent the complications of post-operation such as the leakage and striture of anastomotic entrance. Using anastomotic apparatus and ring was recommended in the reconstruction of alimentary tract.更多还原