Cancrini A, Cancrini F, Bellotti C, Boemi L, Tarroni D, Santoro A, Quagliarini L
Istituto III Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1990 Mar;11(3):118-21.
From 1980 up to nowadays, after total gastrectomy for gastric cancer, the intestinal continuity was assured by oesophago-jejunostomy and oesophago-duodenoplasty using stapling devices. Two patients died for causes not related to the technique, and other two patients developed a stenosis of the oesophago-jejunostomy, which was easily managed by endoscopic dilatation. In one patient a partial dehiscence of the oesophago-jejuno-anastomosis was treated by total parenteral nutrition. The Authors have systematically adopted mechanical sutures after total gastrectomy. However, possible intraoperative accidents and complications should not be underestimated, although most of them may be due to the operator's inexperience or stapler misuse.
从1980年至今，胃癌全胃切除术后，采用吻合器行食管空肠吻合术和食管十二指肠成形术来重建肠道连续性。两名患者因与手术技术无关的原因死亡，另外两名患者发生了食管空肠吻合口狭窄，通过内镜扩张很容易处理。一名患者的食管空肠吻合口部分裂开，通过全肠外营养进行治疗。作者在全胃切除术后系统地采用了机械缝合。然而，术中可能出现的意外和并发症不应被低估，尽管其中大多数可能是由于术者经验不足或吻合器使用不当所致。
