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KMID : 0364019900230020309
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Korean Journal of Thoracic and Cardiovascular Surgery
1990 Volume.23 No. 2 p.309 ~ p.315
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Early Postoperative results of Esophageal Carcinoma using EEA Stapler
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조성래/Cho, S.R.
허강배/김창수/정언섭/정종화/박성달/이재성/Huh, K.B./Kim, C.S./Jeong, E.S./Jeong, J.H./Park, S.D./Lee, J.S.
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Abstract
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The introduction of end-to-end anastomotis stapler (EEA stapler) into esophageal surgery has reduced the mortality and morbidity associated with esophageal resection mainly owing to a reduction in the incidence of ancidence of anastomotic leak.
We now - report the results of the 37 patients undergoing esophagectony or esophagogastrectomy with EEA stapler in the department of cardiothoracic Surgery, Kosin Medical Center
No leakage was demonstrated in the 37 esophagogastnc anastomotic sites, but dehiscence of the TA stapled gastrotomy suture line occurred in two patient.
One patient ´was recovered with conservative treatment but the other patient was died due to hepatic metastasis of esophageal carcinoma during conservative treatrent.
And one severe esophagogastric anastomotic stricture was developed at the 30th postoperative day, but improved after dilatation with balloon dilatation catheter of Swiss Med. Tech. Company. The other complications were postoperative pneumonia (1 case), wound disruption and infection(3 cases), but all of 4 patients were recovered with conservative treatment.
We experienced relative good postoperative results with use of EEA stapler in esophageal surgery. On the basis of our experience, we believe that the EEA stapler has definite place in esophageal surgery.
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