米国製腸管自動吻合器EEAの使用経験

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タイトル別名
  • SIMPLIFIED ANASTOMOSIS OF UPPER GI TRACT BY MEANS OF THE AUTO-SUTURE EEA INSTRUMENT
  • ベイコクセイ チョウカン ジドウ フンゴウキ EEA ノ シヨウ ケイケン シ
  • 食道・空腸吻合, 食道・胃吻合術と食道離断術への応用

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説明

For ten patients with gastric cancer, the oesophagojejunal and oesophagogastric anastomoses were practised by the auto-suture EEA. Two patients with bleeding oesophageal varices were treated by oesophageal transection using the EEA. Although most of the patients had entirely satisfied operative procedures and uneventful postoperative couses, there were several postoperative complications.<BR>The 68-year-old man with gastric cancer developed a temporary anastomotic leakage and died about six weeks after surgery. The 50-year-old woman with oesophageal varices. Who was treated by oesophageal transection developed severe dysphagia for a few weeks after operation. She required dilation of the oesophagus three times. This kind of instrumental anastomoses peformed with the EEA, however, appear to be made faster and safer function than when manual suturing is used. The use of the EEA in gastric oesophageal surgery can shorten operating time securely. These results suggest that anastomoses using EEA may be useful in surgery for the patients with gastric cancer and oesophageal varices.

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