Department of Surgery, Tainan Municipal Hospital, 670 Chung-Te Rd, Tainan 701, Taiwan, ROC.
Surg Today. 2013 May;43(5):583-5. doi: 10.1007/s00595-012-0282-x. Epub 2012 Aug 5.
This article describes a simple pyloroplasty procedure using a linear stapler in surgery for esophageal cancer. Simple pyloroplasty was carried out using a linear stapler in a total of 22 patients, whose stomachs were used as esophageal substitutes in the surgery for esophageal cancer. Endoscopy was performed and the pyloric diameter was measured perioperatively. A barium meal study was conducted 1 month after the surgery. Stapling enlarged the diameter of the pylorus by nearly 10 %. Endoscopy revealed a smooth inner surface of the pylorus, enlargement of pyloric channel, and fewer spasms of the pylorus at the 1-month follow-up. Postoperative barium meal studies showed good patency of all of the patients' gastric outlets. Simple pyloroplasty is a time-saving and non-soiling technique used to perform the drainage of the gastric conduit for resection of esophageal cancer.
本文描述了一种在食管癌手术中使用线性吻合器进行的简单幽门成形术。共有 22 例患者在食管癌手术中使用线性吻合器进行了简单的幽门成形术，将其胃用作食管替代物。在手术过程中进行了内窥镜检查并测量了幽门直径。手术后 1 个月进行了钡餐检查。吻合器使幽门直径增大了近 10%。内窥镜检查显示幽门内表面光滑，幽门通道增大，幽门痉挛减少。术后钡餐检查显示所有患者的胃出口均通畅良好。简单的幽门成形术是一种省时且无污染的技术，用于进行食管癌切除术后胃管的引流。
