Kataoka M, Masaoka A, Hayashi S, Honda H, Hotta T, Niwa T, Honda K
Second Department of Surgery, Nagoya City University Medical School, Japan.
Ann Surg. 1989 Jan;209(1):99-104. doi: 10.1097/00000658-198901000-00014.
Since November 1980, the EEA stapling device has been used to create an end-to-side esophagojejunostomy in 238 patients who underwent total gastrectomy. Failures in the stapling technique were divided into two groups: immediate and delayed. Immediate failures were observed and corrected at the time of surgery. In ten cases, the muscular layer of the esophagus was disrupted, and in three the mucosal layer of the jejunum was disrupted. There were 18 delayed complications: eight cases of anastomotic leakage (3.4%), and ten of stenosis (4.2%). The leakage in one case was classified as major, and those in the other seven as minor. Of the ten stenosis cases, there were five of membranous stricture, four of granular stricture, and one of narrowing after major leakage healing. Only this last case required further surgical treatment. The other nine were successfully dilated either endoscopically or by bougienage.
自1980年11月以来，EEA吻合器已被用于238例行全胃切除术的患者中进行端侧食管空肠吻合术。吻合技术失败分为两组：即刻失败和延迟失败。即刻失败在手术时被观察到并得到纠正。10例食管肌层破裂，3例空肠黏膜层破裂。有18例延迟并发症：8例吻合口漏（3.4%），10例狭窄（4.2%）。1例漏被归类为严重，其他7例为轻微。在10例狭窄病例中，5例为膜状狭窄，4例为颗粒状狭窄，1例为严重漏愈合后狭窄。仅最后1例需要进一步手术治疗。其他9例通过内镜或探条扩张成功治愈。
