대한기관식도과학회지 (Korean Journal of Bronchoesophagology)
- 제5권2호
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- Pages.143-152
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- 1999
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- 1226-0916(pISSN)
식도암수술시 식도-위연결부 수기봉합과 기계봉합의 비교
Comparison of Had-Sewn and Mechanical Esophagogastric Anastomosis After Esophageal Resection for Cancer
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신재승
(고려대학교 구로병원 흉부외과학교실) ;
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최영호
(고려대학교 구로병원 흉부외과학교실) ;
- 김광택 (고려대학교 구로병원 흉부외과학교실) ;
- 황재준 (고려대학교 구로병원 흉부외과학교실)
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Shin, Jae-Seung
(Department of Thoracic and Cardiovascular Surgery, Guro Hospital, Korea University Medical Center) ;
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Choi, Young-Ho
(Department of Thoracic and Cardiovascular Surgery, Guro Hospital, Korea University Medical Center) ;
- Kim, Kwang-Taik (Department of Thoracic and Cardiovascular Surgery, Guro Hospital, Korea University Medical Center) ;
- Hwang, Jae-Joon (Department of Thoracic and Cardiovascular Surgery, Guro Hospital, Korea University Medical Center)
- 발행 : 1999.12.01
초록
Background : the technical modality of esophagogastric anastomosis plays an important part in the factors leading to anastomotic leakage and stricture. Objective : The objective of this study was to compare the leakage and stricture rates between the different anastomosis techniques. Materials and Methods : A retrospective study was undertaken in the patients with esophageal cancer who underwent a esophagectomy. Hand-sewn anastomosis was performed in one layer with interrupted sutures(Manual group). The stapler group was divided into two subgroups, such as PCEEA group and Endo-GIA group. Results : The differences of preoperative patient profiles between the groups were not significant. Overall mortality fates were 5% in manual group, 5% in PCEEA group and 11.5% in Endo-GIA group. Fewer anastomotic leakage occurred in manual group(5%) than in PCEEA group(10%) or in Endo-GIA group(15.4%). The postoperative stricture rate was higher in PCEEA group(35%) than in manual group(5%) or in Endo-GIA group(0%) Conclusion : Statistically, there were no significant differences in the anastomotic leakage and stricture rates between the hand-sewn and mechanical anastomosis. But the stricture rate was lower in the group using the linear stapling device and the leakage rate was lower in the hand-sewn group than the other groups.