Ferguson C M
Am Surg. 1985 Apr;51(4):223-5.
A technique of esophagogastric anastomosis using the end-to-end anastamotic (EEA) stapler following esophagectomy is described in detail. Twenty-two patients underwent esophagectomy for carcinoma at various levels. There were no anastomotic leaks and no operative mortalities. Complications included wound infection (3), pneumonia (1), and late stricture (2). The strictures resulted from use of the small (25-mm) cartridge and responded to dilatation. Technical details of the technique include complete division of the esophagus before inserting the stapler, use of the pursestring instrument, use of "guy" sutures to aid in introduction of the anvil, and use of a proximal esophageal "traction clamp" to avoid tearing the esophagus. The 31-mm cartridge is used whenever possible. It is concluded that EEA is a very safe method of esophagogastrostomy when used with strict attention to technical details.
详细描述了一种在食管切除术后使用端端吻合（EEA）吻合器进行食管胃吻合的技术。22例患者因不同部位的癌症接受了食管切除术。无吻合口漏，无手术死亡。并发症包括伤口感染（3例）、肺炎（1例）和晚期狭窄（2例）。狭窄是由于使用小（25毫米）钉仓所致，经扩张治疗有效。该技术的技术细节包括在插入吻合器前完全切断食管、使用荷包缝合器械、使用“牵拉”缝线辅助引入钉砧以及使用近端食管“牵引钳”以避免撕裂食管。尽可能使用31毫米钉仓。结论是，在严格注意技术细节的情况下，EEA是一种非常安全的食管胃吻合方法。
