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目的 :评价胃癌、直肠癌根治术中垂直褥氏内翻单层吻合法 (ALLgoewer-Gambee’单层吻合法 )的安全性和有效性。方法 :自 1 981年以来为 96例胃癌、直肠癌患者行垂直褥氏内翻单层吻合 ,其中胃癌 3 8例、直肠 5 8例 ;同期双层吻合法 5 6例 ,其中胃癌 2 6例、直肠 3 0例。结果 :垂直褥氏内翻单层吻合法 96例中无 1例发生吻合口瘘及狭窄 ;双层吻合法5 6例中 ,食管、空肠吻合口瘘 4例 ( 1 5 3 8% )、吻合口狭窄 5例 ( 1 9 2 3 % ) ,结肠、直肠吻合口瘘 4例 ( 1 3 3 3 % )、吻合口狭窄4例 ( 1 3 3 3 % )。结论 :胃癌、直肠癌根治术中垂直褥氏内翻单层吻合法具有手术安全、可靠及近期疗效好等优点。
Objective: To evaluate the safety and efficacy of ALLgoewer-Gambee single-layer anastomosis in gastric cancer and radical resection of rectal cancer. Methods: One hundred and sixty-six cases of gastric cancer and rectal cancer patients underwent vertical ankle varus single layer anastomosis since 1981, including 38 cases of stomach cancer and 58 cases of rectum. In the same period, 56 cases were treated by double-layer anastomosis, of which 26 cases were gastric cancer , Rectum 30 cases. Results: There was no anastomotic fistula or stenosis in 96 cases of single-layer anastomosis. Among the 56 cases of double-layer anastomosis, 4 cases (15.38%) had esophageal and jejunostomy fistula 5 cases (1923%) had stenosis, 4 cases (13.33%) had anastomotic fistula and 4 cases (13.3%) had anastomotic stenosis. Conclusion: The single vertical anastomosis in gastric cancer and rectal cancer radical operation has the advantages of safe operation, reliable and short-term curative effect.