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食管和贲门癌切除器械吻合术270例分析
引用本文:侯夏宝,李单青,贾涛,谭颖,余国校.食管和贲门癌切除器械吻合术270例分析[J].中华肿瘤防治杂志,2005,12(4):309-310.
作者姓名:侯夏宝  李单青  贾涛  谭颖  余国校
作者单位:1. 新乡铁路医院胸外科,河南,新乡,453000
2. 中国医学科学院中国协和医科大学,北京协和医院胸外科,北京,100730
摘    要:为了总结食管、贲门癌手术应用各型器械吻合的临床经验,回顾性分析270例食管、贲门癌患者应用国产GF Ⅰ型、国产WGW B型与国外一次性吻合器手术治疗的结果。发生并发症13例,包括吻合口瘘2例,吻合口出血3例,吻 合口狭窄7例,胸胃纵隔疝1例,无手术死亡和住院死亡。应用经验体会,正确的器械吻合操作缩短了手术时间,减少 了吻合口并发症的发生,降低了手术死亡率,国产WGW B型吻合器更适于我国国情。

关 键 词:食管肿瘤/外科学  胃肿瘤/外科学  吻合器/手术治疗  吻合口瘘/并发症
文章编号:1009-4571(2005)04-0309-02
修稿时间:2004年8月13日

Esphogeal cardiac carcinoma resect by mechanical anastomosis: a report of 270 cases
HOU Xia-bao,LI Shan-qing,Jia Tao,TAN Ying,YU Guo-xiao.Esphogeal cardiac carcinoma resect by mechanical anastomosis: a report of 270 cases[J].Chinese Journal of Cancer Prevention and Treatment,2005,12(4):309-310.
Authors:HOU Xia-bao  LI Shan-qing  Jia Tao  TAN Ying  YU Guo-xiao
Affiliation:HOU Xia-bao 1,LI Shan-qing 2,JIA Tao 1,TAN Ying 1,YU Guo-xiao 1 1.Department of Thoracic Surgery,Xinxiang Railway Hospital,Xinxiang 453000,P.R.China 2.Department of Thoracic Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100730,P.R.China
Abstract:The objective was to evaluate the clinical experience of using three kinds of end-to-end anatomosis appliances for the operation of esophageal carcinoma or cardiac carcinoma. A total of 270 patients who suffered from esophageal carcinoma or cardiac carcinoma were treated with these appliances, the type included: GF-I,WGW-B and disposabal appliance(CDH).Thirteen patients had complications, including end-to-end anatomosis fitula in 3 cases,anatomosis bleeding in 3 cases,anatomosis stenosis in 7 cases and thoracic gastric mediastinal hernia in 1 case. There was no operative death and hospital death. In condusion, the right appliance and the right way can shorten the duration of operation, reduce complications and lower the rate of operative death,too.The type WGW-B is much better for the cases in China.
Keywords:esophageal neoplasms/surgery  gastric neoplasms/surgery  end-to-end appliance/operative treatment  end-to-end anatomosis fitula/complication
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