【摘要】 比较食管癌切除术后应用非一次性沪产吻合器和手工缝合在颈部行食管胃吻合的经验体会。我科1998年11月~2010年12月,食管癌切除术后应用沪产吻合器在颈部通过"反插法"进行食管胃吻合126例;手工缝合100例。结果全部病例均治愈出院,手工缝合组发生吻合口瘘5例,吻合口狭窄9例,食物返流18例,吻合口出血1例;吻合器组未发生吻合口瘘、吻合口狭窄,早期发生食物返流9例,吻合口出血1例,经妥善处理后治愈。因此,非一次性沪产吻合器只要术者掌握好反插法,就能够在颈部顺利施行吻合器的食管胃吻合,获得满意疗效。该法能够使吻合器反复使用,价格低廉,造福于患者。更多还原

【Abstract】 To compare the application of non-disposable esophageal resection Shanghai stapler and hand suture middle cervical esophageal anatomists’ in the experience of experience.In our Department from November 1998 to December 2010 were 226 cases of esophageal cancer resection,including postoperative Shanghai capacity stapler in the neck through the "anti-interpolation" 126 cases of esophageal anastomosis;hand-stitched 100 cases.All patients were cured,hand-suture group had 5 cases of anastomotic leakage,anastigmatic stenosis in 9 cases,18 cases of food reflux,anastomotic bleeding in one case;anastomosis group without anastomotic leakage,anastomotic stenosis,early onset Food regurgitation in nine cases,anastomotic bleeding in one case,cured by proper handling.Non-disposable Shanghai-stapling surgery as long as the master anti-interpolation method were to be able to successfully implement in the neck of the esophagus and stomach stapling mild with satisfactory results.The law allows repeated use of stapler,low cost,the benefit of patients.更多还原