Le Treut Y P, Delpero J R, Sabiani P, Berthet B, Bozon-Verduraz E, Pol B, Bricot R
Service de Chirurgie Générale et Digestive, Hôpital de la Conception, Marseille.
J Chir (Paris). 1987 Dec;124(12):695-700.
32 consecutive total gastrectomies for cancer (20 extended total gastrectomies) were carried out through an abdominal approach. Reconstruction using a Rouxen-Y loop (28 cases) or an interposed jejunal loop (four cases) was done with an EEA stapled oesophago jejunostomy: 25 end to side and 5 end to end anastomosis were performed and two technical failures led to complete manual anastomosis. All patients have had post-operative X-ray examination: there was no anastomotic leakage in this series, even in the 3 patients (10%) who have died during the post-operative course. A critical study of this series and eight others one from elsewhere is presented: it is concluded that the stapling device allows an easier and safer oesophagojejunostomy than manual procedure, when great care is taken of technical details.
对32例癌症患者实施了连续的经腹全胃切除术（其中20例为扩大全胃切除术）。采用Rouxen-Y袢（28例）或间置空肠袢（4例）进行重建，并使用EEA吻合器行食管空肠吻合术：25例为端侧吻合，5例为端端吻合，2例技术失败后改为完全手工吻合。所有患者均接受了术后X线检查：本系列中无吻合口漏发生，即使在术后病程中死亡的3例患者（10%）中也未出现。本文对本系列及其他地区的8个系列进行了批判性研究：得出的结论是，在严格注意技术细节的情况下，吻合器行食管空肠吻合术比手工操作更容易、更安全。
