CAJ | 학술논문

目的评价器械吻合和手工吻合在食管癌术中的优缺点.方法回顾性分析456例食管中上段癌患者的临床资料,食管胃吻合时采用吻合器吻合者为器械组,采用传统丝线全层间断缝合者为手工组.比较两组患者的术中及术后情况.结果器械组吻合时间及总手术时间、留置胸管时间、术后住院时间较手工组缩短(P＜0.05),术后进食较手工吻合组早,术中出血量两组比较差异无统计学意义(P＞0.05).器械组无吻合口瘘发生,两组术后吻合口瘘、吻合口狭窄、肺部并发症发生率两组比较差异有统计学意义(P＜0.05),两组住院费用比较差异无统计学意义(P＞0.05).结论器械吻合具有操作简便、安全、缩短吻合时间、降低术后并发症发生率,且不增加住院费用的优势.
목적 평개기계문합화수공문합재식관암술중적우결점.방법 회고성분석456례식관중상단암환자적림상자료,식관위문합시채용문합기문합자위기계조,채용전통사선전층간단봉합자위수공조.비교량조환자적술중급술후정황.결과 기계조문합시간급총수술시간、류치흉관시간、술후주원시간교수공조축단(P＜0.05),술후진식교수공문합조조,술중출혈량량조비교차이무통계학의의(P＞0.05).기계조무문합구루발생,량조술후문합구루、문합구협착、폐부병발증발생솔량조비교차이유통계학의의(P＜0.05),량조주원비용비교차이무통계학의의(P＞0.05).결론 기계문합구유조작간편、안전、축단문합시간、강저술후병발증발생솔,차불증가주원비용적우세.
Objective To evaluate stapling and manual anastomosis advantages and disadvantages of esophageal carcinoma surgery.Methods We retrospectively analyzed 456 patients with mid-thoracic or upper-thoracic esophageal carcinoma who received esophagogastric anastomosis surgery.Stapling technique anastomosis were the stapling group,traditional silk layer interrupted suture were manual group.Intraoperative and postoperative conditions were compared between the two groups.Results The time of esophagogastrostomy and the total operating time,hospitalization time,duration of postoperative chest drainage,in stapling group were shorter than that of manual group,and postoperative eating time was earlier than that of manual group (P ＜ 0.05),there were no significantly difference in the blood loss during surgery between two groups (P ＞ 0.05).There were statistically significant between two groups in postoperative anastomotic leakage,anastomotic stenosis,the incidence of pulmonary complications (P ＜ 0.05).There was no significantly difference in hospitalization costs between two groups (P ＞0.05).Conclusions Stapling technique is simple,safe,and shorter anastomosis time,reduce the incidence of postoperative complications,and has advantage of hospitalization costs without increasing.