CAJ | 학술논문

目的探讨消化道吻合器行胆肠吻合的可行性、操作方法及效果.方法对胰头癌、壶腹部肿瘤、胆石症等共118例次病人施行手术治疗,术中应用吻合器行包括胆肠端端、端侧、侧侧吻合术式的胆肠吻合.结果全组病例吻合器吻合成功,未出现吻合口胆瘘、胆道出血、狭窄等并发症.良性疾病远期随访亦未见不良后果.结论器械腔内吻合器行胆肠吻合省时、简便、可靠,可作为外科胆管空肠吻合重建的一种选择.
목적 탐토소화도문합기행담장문합적가행성、조작방법급효과.방법 대이두암、호복부종류、담석증등공118례차병인시행수술치료,술중응용문합기행포괄담장단단、단측、측측문합술식적담장문합.결과 전조병례문합기문합성공,미출현문합구담루、담도출혈、협착등병발증.량성질병원기수방역미견불량후과.결론 기계강내문합기행담장문합성시、간편、가고,가작위외과담관공장문합중건적일충선택.
Objective To evaluate the feasibility, methods and effectiveness of using a mechani-cal stapler for choledochojejunostomy.Methods The authors have operated on 118 patients in the management of carcinoma of head of pancreas, or periampullary tumor, or cholelithiasis.In the opera-tion, the bilio-enteric end-to-side, or end-to-end and side-to-side anastomosis was made by a circular stapler device, and then a Roux-en-Y or Brown's loop was formed for the preeedure.Results All the surgery of using stapler was done successfully.No postoperative complications such as stomal leak, bleeding and narrow were found.Meanwhile, no harmful consequences were observed through long-time follow-up.Conclusion Using mechanical stapler for bilio-intestinal anastomosis is time-saving, simple and reliable.It can be a choice for some diseases.