【摘要】 目的:总结国产管状吻合器在经腹全胃切除术中应用的临床效果。方法:对58例胃癌经腹做全胃切除,应用国产管状吻合器进行消化道Roux-en-Y吻合术。结果:57例一次性吻合成功,1例吻合器吻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,1例吻合口狭窄。结论:熟悉国产吻合器性能,操作得当,能明显地缩短手术时间,减少出血,减轻对组织的创伤,有利于术后恢复。更多还原

【Abstract】 Objective:To evaluate the clinical value of domestic tubular stapler in transabdominal total gastrectomy.Methods:Fifty-eight cases of gastric cancer were treated by transabdominal total gastrectomy.Roux-en-Y modal of digestive reconstruction were accomplished after total gastrectomy for gastric cancer with domestic tubular stapler.Results:Fifty-seven cases were anastomosed by one stage,but 1 case had to be reanastomosed through the chest.No anastomotic leakage or hemorrhage was observed.During the follow-up of six monthes to two years,anastomotic stenosis occurred in one case.Conclusions:Familiarity with the function of domestic tubular stapler and proper operation can significantly shorten the surgery time,reduce blood loss,and alleviate tissue damage,reaching a satisfactory outcome.更多还原