Damanakis K, Kantartzis M, Schenk R, Wissenberg V
Chirurgische Abteilung, St. Josef-Krankenhauses, Wuppertal.
Zentralbl Chir. 1992;117(11):583-8.
From 1973 to 1990 we have performed 216 anastomoses of the oesophagus after resection of gastric malignancy. Both resection due to a carcinoma of the oesophagus and subtotal gastric resection due to distal carcinoma of the stomach have not been considered. In a retrospective study we present the results of our oesophageal anastomoses performed by hand-suture and stapling. The perioperative complications are shown with special regard to the insufficiency rate of the oesophageal anastomosis and the resulting mortality. In 70 by hand suturing performed anastomoses (1973-80) we have seen 3 (4.4%) leaks of the oesophagojejuno-/oesophagogastrostomy, in 146 stapled anastomoses (1980-90) 6 (4.2%) insufficiencies were seen. Two of 3 dehiscences in the hand-sewn group and one of the 6 leaks in the stapler group had a lethal outcome. The overall hospital mortality could be reduced from 18.5% to 6.9%.
1973年至1990年期间，我们对胃恶性肿瘤切除术后的患者进行了216例食管吻合术。因食管癌行切除术以及因胃远端癌行胃次全切除术的情况未纳入考虑。在一项回顾性研究中，我们展示了手工缝合和吻合器吻合食管的结果。重点呈现了围手术期并发症，尤其是食管吻合口漏发生率及由此导致的死亡率。在70例手工缝合吻合术（1973 - 1980年）中，我们发现食管空肠/食管胃吻合口漏3例（4.4%）；在146例吻合器吻合术（1980 - 1990年）中，发现吻合口漏6例（4.2%）。手工缝合组的3例裂开中有2例、吻合器组的6例漏中有1例导致死亡。总体医院死亡率从18.5%降至6.9%。
