摘要
①目的 探讨进口管状吻合器在胃癌全胃切除术中的应用价值。②方法 实验组 39例胃癌病人行全胃切除术 ,采用美国强生公司生产的CDH2 5型圆形端端吻合器 (PCEEA)进行食管空肠吻合 ,对照组 2 1例病人行常规手术吻合 ,对两组临床资料进行回顾性分析。③结果 实验组手术病人除 1例并发吻合口漏、呼吸衰竭死亡外 ,其余均顺利出院 ,对照组 2例病人发生吻合口漏而死亡 ;两组病人均被病理证实两断端病灶彻底切除 ;实验组术后住院 8～ 17d ,平均 9d ,对照组术后住院 11～ 2 2d ,平均 16d ,二者比较差异有显著性 (χ2 =7.5 6 ,P <0 .0 1)。④结论 应用PCEEA可以减少手术并发症 ,缩短住院时间 。
Objective To evaluate the value of PCEEA in total gastrectomy for carcinoma of the stomach. Methods An esophagojejunostomy was done for 39 gastric cancer patients by using PCEEA, Model CDH25, made by Jhonson Company in U.S.A. A routine esophagojejunal anastomosis was done in 21 patients served as the control. The clinical data of the two groups were analyzed retrospectively. Results In experimental group, one patient died of anastomotic leakage and respiratory failure, the others recovered uneventfully. For the control group, two patients died of anastomotic leakage. The proximal and distal ends were cancer free pathologically in both groups. The hospital stay for experimental group was 8-17 days, with an average of 9 days; for the control group, 11-22 days, with an average of 16 days. There was a significant difference between the two groups (χ2=7.56,P<0.01). Conclusion The application of PCEEA may reduce operative complications and shorten hospitalization. This procedure is recommended for clinical practice.
出处
《青岛大学医学院学报》
CAS
2001年第2期139-140,共2页
Acta Academiae Medicinae Qingdao Universitatis
