Campana F P, Marchesi M, Tartaglia F, Biffoni M, Pugliese F R, Picchi P
VIII Patologia Speciale Chirurgica e Propedeutica Clinica, Università degli Studi La Sapienza, Roma.
G Chir. 1990 Mar;11(3):99-100.
The Authors discuss the technical criteria of digestive reconstruction after total gastrectomy for gastric cancer. Usually they employ stapling devices which are easy and quick to use and give good technical results. Performing a Roux-en-Y with an end-to-side esophagojejunostomy a circular device is preferred and a linear cutter for a side-to-side jejunojejunal anastomosis is used. Alternatively the jejunojejunal anastomosis may be performed with a circular and a linear stapler. Between 1970 and 1989, out of 160 total gastrectomies for cancer, 2 dehiscences were recorded in 103 mechanical anastomosis and none out of 57 manual anastomosis (p: n.s.); stenosis was observed in 2 cases after mechanical esophagojejunostomy and in none after manual anastomosis.
作者们讨论了胃癌全胃切除术后消化重建的技术标准。他们通常使用易于操作且快速的吻合器，技术效果良好。行Roux-en-Y式食管空肠端侧吻合时，首选圆形吻合器，而行空肠空肠侧侧吻合时则使用线性切割器。或者，空肠空肠吻合也可用圆形吻合器和线性吻合器完成。1970年至1989年间，160例因癌症行全胃切除术的患者中，103例机械吻合中有2例发生吻合口裂开，57例手工吻合中无一例发生（P：无统计学意义）；机械性食管空肠吻合术后有2例出现狭窄，手工吻合术后无狭窄病例。
