Forte and technique of circular stapler application in radical correction of gastric eardia carcinoma
10.3760/cma.j.issn.1673-4203.2009.05.024
- VernacularTitle:贲门癌根治术术中管状吻合器的使用优点及技巧探讨
- Author:
Quashan ZHU
;
Ping CHEN
;
Wei ZHAO
;
Zhenhua SUN
- Publication Type:Journal Article
- Keywords:
gastric cardia carcinoma;
circular stapler;
forte;
technique
- From:
International Journal of Surgery
2009;36(5):355-358
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate forte and technique in radical correction of gastric eardia carcinoma (esophagojejunostomy and gastric stump esophago anastomosis). Methods 753 Patients with gastric cardia carcinoma admitted to our hospital from 1998 to 2007 treated with radical correction by jejuno-osophagus an-astomosis and esophagogastric anastomosis to digestive tract reconstruction, circular staplers were used in all cases. Results There was no death (no leakage、bleeding and stricture of anastornotic entrance stenosis)in these cases by thoracoabdominal approach 6 cases, anastomotic leakage 0 case, pero-eutting 2 cases, steno-sis 4 cases, infection of abdominal cavity 1 case, diaphragmatic hernia 1 case, pathologic diagnosis of exam-ple after operation , the upper cut positive 1 case, the lower cut negative in all cases. Conclusions in rad-ical correction gastric cardia carcinoma, the application of circular stapler makes this procedure simple, reli-ability, safety and time saving, descends the ratio of radical correction of gastric cardia carcinoma by thora-coabdominal approach, decreases surgical trauma, decurtate the period of recovery following an illness, pre-vent the complications of post-operation such as the leakage and stricture of anastomotic entrance. But the applieation of circular stapler is not absolutely trustworthy, there are also any ratio of leakage ,haemorrhage and stricture of anastomotic entrance, the technique worth summarizing and investgating in the future.
