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Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition) ›› 2015, Vol. 02 ›› Issue (04): 217-220. doi: 10.3877/cma.j.issn.1674-6899.2015.04.007

Special Issue:

• Original Article • Previous Articles     Next Articles

Cardia cancer Jejunum in gastric jejunum-jejunum side anastomosis using mechanical anastomosis-84 cases of clinical randomized controlled study

Rui Guo1, Maimaitiyinming Xiaokaiti·1, Ahan Nuerlan·1,()   

  1. 1. Department of Thoracic Surgery, People′s Hospital of Xinjiang Uygur Autonomous Region, Urumuqi 830001, China
  • Received:2015-09-25 Online:2015-11-15 Published:2015-11-15
  • Contact: Ahan Nuerlan·
  • About author:
    Corresponding author: Nuerlan·Ahan, Email:

Abstract:

Objective

Discuss all gastric cardia cancer resection of mechanical anastomosis in the digestive tract reconstruction replace manual consistent application value and the clinical curative effect.

Methods

Selected department from January 2012 to December 2012 were clinical diagnosis of cardia cancer requires full stomach resection for the treatment of esophagus jejunum generation of patients, a total of 84 cases, according to a randomized controlled study methods were randomly divided into mechanical anastomosis of and manual anastomosis of the 42 cases, compared two groups of patients with surgical operation, postoperative complications associated with consistent way and long-term prognosis.

Results

Mechanical anastomosis of the operation time, intraoperative blood loss, the incidence of anastomotic stenosis were lower than that of manual anastomosis group(P<0.05); Length of hospital stay, the incidence of anastomotic fistula is similar between the two groups had no statistical significance(P>0.05); Mechanical anastomosis of hospitalization cost is higher than manual anastomosis group(P<0.05).

Conclusion

Compared with the traditional manual layered anastomosis, the digestive tract in cardia cancer revascularization in jejunum-jejunum side side anastomosis using mechanical anastomosis is relatively easy to operate, can shorten the operation time, make up for the manual data generated by improper operation, reduce the incidence of postoperative anastomotic is too big or small, is worth wide application in the clinical practice.

Key words: Cardia cancer, Digestive tract reconstruction, Anastomosis, Mechanical anastomosis

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