南方医科大学学报2012，Vol.32Issue(6)：908-909,912,3.DOI:10.3969/j.issn.1673-4254.2012.06.035
机械吻合和手工吻合两种食管癌切除术的比较
Comparative analysis of mechanical and manual cervical esophagogastric anastomosis following esophagectomy for esophageal cancer
蔡瑞君 1李梅 1熊刚 1蔡开灿 1王武军1
作者信息
- 1. 南方医科大学南方医院心胸血管外科,广东广州510515
- 折叠
摘要
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,significantly higher than the incidences of 2.9% (3/102) and 3.9% (4/102) in the mechanical anastomosis group (P<0.01).Manual anastomosis required a significantly longer operative time than mechanical anastomosis (52+12 vs 25+5 min,P<0.01).Conclusion The use of circular mechanical stapler in cervical esophagogastric anastomosis is associated with a lower rate of anastomotic leak and a shorter operative time,and is easy to learn and standardize to reduce the complications of the anastomosis.关键词
食管癌/吻合/并发症Key words
esophageal cancer/anastomosis/complications分类
医药卫生引用本文复制引用
蔡瑞君,李梅,熊刚,蔡开灿,王武军..机械吻合和手工吻合两种食管癌切除术的比较[J].南方医科大学学报,2012,32(6):908-909,912,3.
