ESOPHAGOGASTRECTOMY USING THE AUTO SUTURE EEA SURGICAL STAPLING INSTRUMENT

ESOPHAGOGASTRECTOMY USING THE AUTO SUTURE EEA SURGICAL STAPLING INSTRUMENT
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DOI:
10.1016/s0003-4975(10)61266-0
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发表时间:
1980-01-01
影响因子:
4.6
通讯作者:
STONE, R
STONE, R
中科院分区:
医学2区
文献类型:
--
作者:
DORSEY, JS;ESSES, S;STONE, R

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描述了一种用于食管胃吻合术的吻合器械,其产生端对端的内翻吻合。倒置吻合术由双排交错排列的不锈钢斯台普斯固定在一起。报告了7例连续患者使用该器械进行食管远端或近端胃癌食管胃切除术的经验。术后并发肺不张1例,心力衰竭1例,肺炎1例。5个月时吻合口出现纤维化狭窄。术后1例。无吻合口漏。吻合器吻合需要2-3分钟才能完成,似乎至少与手工缝合吻合相当。
A stapling instrument, which creates end-to-end inverting anastomoses, is described for esophagogastrostomy. The inverted anastomosis is held together by a double staggered row of stainless-steel wire staples. Experience with 7 consecutive patients who underwent esophagogastrectomy for carcinoma of the distal esophagus or proximal stomach using this device is reported. Postoperative complications included atelectasis in 1 patient, cardiac failure in 1 and pneumonia in 1. A fibrotic stricture developed at the anastomotic site 5 mo. postoperatively in 1 patient. There were no anastomotic leaks. The stapled anastomosis takes 2-3 min to perform and seems to be at least comparable to hand-sewn anastomoses.