使用CDH圆型吻合器进行上消化道重建72例

The application of CDH circular stapler for upper digestive tract reconstruction in 72 cases

摘要: 目的：评价新型吻合器——CDH圆型吻合器在上消化道重建中的可行性。方法：采用该吻合器进行了72例食管、贲门癌胸内或颈部吻合术，其中食管癌49例，贲门癌23例，颈部吻合2例，弓上吻合46例，弓下吻合24例。结果：72例中无器械故障及吻合口瘘发生，1例术后出现吻合口狭窄。结论：通过与另外两种常用的国产吻合器进行比较，作者认为CDH型圆形吻合器安全可靠，可以在上消化道手术中推广应用。

Abstract: Objective:To evaluate the feasibility of CDH circular stapler in upper digestive tract reconstruction.Methods:Intrathoracic or cervical esophagogastrostomy ws performed in 72 cases with esophageal or cardiac cancer using a kind of new stapler-CDH circular stapler between March 1996 and January 1997. Of these 72 patients, 49 were esophageal cancer and 23 were cardiac cancer; 2 underwent cervical anastomosis, 46 underwent superaortic anastomosis and 24 underwent subaortic anastomosis. Results:Post-anastomotic stricture developed only in 1 case, and no instrumental failure or leakeage occured.Conclusion:CDH circular stapler may be used safely and reliably in upper digestive tract surgery.