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目的 评价吻合器在贲门癌手术治疗的临床应用价值。方法 分析 63例不同年龄、不同性别的贲门癌手术采用吻合器进行食管胃吻合的临床资料。结果 全组 63例, 1例因麻醉不满意吻合后撕裂外,其余全部一次吻合成功,术后无吻合口瘘,无出血,无狭窄,全组无手术死亡。结论 贲门癌手术,采用吻合器可避免开胸打击,减少手术危险,能达到根治目的。且手术时间短,并发症少,术后恢复快,手术适应症广。
Objective To evaluate the clinical application value of stapler in surgical treatment of cardiac cancer. Methods The clinical data of 63 patients with different ages and genders who had undergone gastric cardioresical anastomosis using stapler were analyzed. RESULTS: In the whole group of 63 patients, one patient had anastomosis after dissatisfaction with anesthesia. All the other ones were successfully anastomosed. There was no anastomotic leakage, no bleeding, no stenosis, and no operative death occurred in the whole group. Conclusions Operation of cardia cancer can be avoided by adopting an anastomat to avoid thoracotomy, reduce the risk of surgery, and achieve the goal of radical cure. Shorter operative time, less complications, rapid postoperative recovery, surgical indications.