【摘要】 目的探讨胃食管全器械侧侧吻合术在食管癌手术中的效果。方法 150例食管癌患者行颈部胃食管全器械侧侧吻合术,作为实验组,另选50例食管癌患者使用管型吻合器进行胸内胃食管端侧吻合术,作为对照组,对两组吻合口瘘及吻合口狭窄等并发症发生率进行对比研究。结果实验组无一例吻合口瘘及吻合口狭窄病例发生,对照组吻合口瘘发生3例,吻合口狭窄4例,两组比较差异均有统计学意义(P<0.05)。结论颈部胃食管全器械侧侧吻合术可最大范围切除肿瘤,有效预防术后吻合口并发症的发生,有临床推广价值。更多还原

【Abstract】 Objective To investigate the effect of gastroesophageal total mechanical side-to-side anastomosis in esophageal cancer operation. Methods The experimental group contained 150 esophageal cancer patients, who underwent cervical gastroesophageal total mechanical side-to-side anastomosis. The control group contained 50 esophageal cancer patients undergoing intrathoracic gastroesophageal end-to-side anastomosis by tubular shaped anastomat. Incidences of complications, such as anastomotic fistula and anastomotic stenosis, were compared between the two groups. Results There was no case with anastomotic fistula or anastomotic stenosis in the experimental group, while the control group contained 3 cases with anastomotic fistula and 4 cases with anastomotic stenosis. The differences between the two group had statistical significance(P<0.05). ConclusionApplication of cervical gastroesophageal total mechanical side-to-side anastomosis can provide tumor excision in the largest range, and effectively prevent the occurrence of postoperative anastomotic complications. It has clinical promotion value.更多还原