背景:胃肠(GI)手术中的吻合是一种常见的手术。遵循了各种无关紧要的肠吻合方法-最近的进步是使用吻合器作为胃肠道吻合装置。由于使用订书机,技术故障是罕见的,吻合更一致,可以在困难的位置使用。
方法::在2008年至2016年8月之间,75例食管或胃食管结合部癌患者通过右后外侧开胸(TTE)或食管切除术或电视胸腔镜手术与线性吻合器吻合术进行了根治性切除。
结果:平均随访约9个月。在3例患者中观察到吻合口漏。关于后续行动,两名患者出现吞咽困难,在上消化道内窥镜检查中,发现吻合口狭窄。没有围手术期死亡。
结论:线性吻合术是一种安全有效的吻合技术,这可以降低泄漏率,术后吞咽困难,吻合口狭窄.与使用三个或更多订书机的其他技术相比,在该技术中仅使用两个线性订书机。它也具有成本效益。该程序值得更多关注和进一步应用。
BACKGROUND: Anastomosis in gastrointestinal (GI) surgery is a commonly performed procedure. Irrelevant various methods of intestinal anastomosis were followed - recent advance is the use of a stapler as a device for GI anastomosis. Due to the use of staplers, technical failures are a rarity, anastomosis is more consistent and can be used at difficult locations.
METHODS: : Between 2008 and August 2016, 75 patients with esophagus or gastroesophageal junction carcinoma underwent curative intent resection either via a right posterolateral thoracotomy (TTE) or transhiatal esophagectomy or video-assisted thoracoscopic surgery with linear stapler anastomosis.
RESULTS: The average follow-up was approximately 9 months. Anastomotic leakage was observed in three patients. On follow-up, two patients presented with difficulty in swallowing, and on upper GI endoscopy, they were found to have anastomotic site stricture. There was no perioperative mortality.
CONCLUSIONS: The linear-stapled esophagogastric anastomosis is a safe and effective anastomotic technique, which can decrease the rate of leak, postoperative dysphagia, and anastomotic stricture. As in this technique only two linear staplers are used in comparison to other techniques where three or more staplers are used, it is also cost-effective. The procedure deserves more attention and further application.