机械吻合和手工吻合两种食管癌切除术的比较.pdfVIP

路908 路 鍗楁柟鍖荤澶у瀛︽姤锛圝 South Med Univ 锛 2012;32(6) 涓村簥鐮旂┒ 鏈烘鍚诲悎鍜屾墜宸ュ惢鍚堜袱绉嶉绠＄檶鍒囬櫎鏈殑姣旇緝 钄＄憺鍚涳紝鏉 姊咃紝鐔 鍒氾紝钄″紑鐏匡紝鐜嬫鍐 鍗楁柟鍖荤澶у鍗楁柟鍖婚櫌蹇冭兏琛€绠″绉戯紝骞夸笢 骞垮窞 510515 鎽樿锛氱洰鐨勬帰璁ㄩ绠＄檶鍒囬櫎椋熺鑳冮閮ㄦ満姊板惢鍚堝強鎵嬪伐鍚诲悎涓ょ鎵嬫湳鏂瑰紡鐨勫苟鍙戠棁鍙婇槻娌汇€傛柟娉?004 骞? 鏈垀2008 骞? 鏈堬紝灏 棰堟鍙婅兏涓€佷笂娈甸绠＄檶骞跺叿鏈夋墜鏈€傚簲鐥囩殑鎮ｈ€呴殢鏈哄垎涓轰袱缁勫嵆鎵嬪伐鍚诲悎缁?鎵嬪伐缁?鍜屽渾褰㈠惢鍚堝櫒鏈烘鍚诲悎缁?鏈烘缁? 锛屾瘮杈 涓ょ粍鍚诲悎鍙ｇ槝銆佺嫮绐勭瓑鐨勫苟鍙戠棁銆傜粨鏋滄墜宸ョ粍125渚嬶紝鏈烘缁?02渚嬶紝鍚诲悎鐦樺彂鐢熺巼鍒嗗埆涓?4.4%(18/ 125)銆?.9%(3/ 102) 锛岀嫮绐勯渶 鎵╁紶鍒嗗埆涓?.8.%(11/ 125) 锛?.9%(4/ 102)銆傞閮ㄥ惢鍚堟椂闂村垎鍒负锛?2卤 12锛塵in 鍜岋紙25卤5锛塵in 锛屽樊鍒樉钁楋紙P0.01锛夈€傜粨璁洪绠＄檶鍒 闄ら绠¤儍棰堥儴閲囩敤鍦嗗舰鍚诲悎鍣ㄧ渚у惢鍚堝惢鍚堝彛鐦樺彂鐢熺巼浣庯紝鎵嬫湳鏃堕棿缂╃煭锛屾搷浣滅畝渚匡紝鏄撲簬鎺屾彙鍙婃爣鍑嗗寲锛屾湁鍒╀簬闄嶄綆鍚诲悎鍙ｇ殑 骞跺彂鐥囥€ 鍏抽敭璇嶏細椋熺鐧岋紱鍚诲悎锛涘苟鍙戠棁 涓浘鍒嗙被鍙凤細R735.1 鏂囩尞鏍囧織鐮侊細A 鏂囩珷缂栧彿锛?673-4254锛?012锛?6-0908-02 doi: 10.3969/j.issn. 1673-4254.2012.06.035 /kcms/detail/44.1627.R1523.015.html Comparative analysis of mechanical and manual cervical esophagogastric anastomosis following esophagectomy for esophageal cancer CAYI Ruijun, LI Mei, XIONG Gang, CAI Kaican, WANG Wujun Department of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China Abstract: Objective To compare the complications associated with mechanical and manual cervical esophagogastric anastomosis following esophagectomy for esophageal cancer. Methods From September, 2004 to June, 2007, 227 patients with middle and upper thoracic esophageal cancer underwent cervical esophagogastric anastomosis after esophagectomy. The patients were randomized into two groups and cervical esophagogastric anastomosis was performed using a stapler (n=102) or manually (n=125). The incidence of postoperative complications and operative time were compared between the two groups. Results In manual anastomosis group, anastomotic leak and anastomotic stricture occurred in 14.4% (18/125) and 8.8.% (11/ 125) of the patients, signifi