Operation on the junction of esophagus and cardia

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食管胃切除术
time:2021-10-27   click :1272

Esophagogastrostomy is used for variceal bleeding at the lower end of the esophagus, resection of cardiac cancer and malignant lesions at the bottom of the stomach.
1. Free the lower esophagus and proximal stomach, and then cut off the esophagus and stomach 6cm away from the cardia.

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After dissociating the gastric cardia, a purse string suture device was clamped at the lower end of the esophagus, and the gastric body was cut off with a Huaxia disposable linear cutting suture device
2. Cut a small opening in the front wall of the gastric body, insert the Huaxia disposable tubular stapler, lead the central rod out of the front wall of the stomach, and pay attention to maintaining a distance of at least 2.5cm between the gastroesophageal anastomosis and the gastric closure line to ensure the tissue blood supply between the two.

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The lower end of the esophagus has been placed with a nail seat, and the Cathay disposable tubular stapler is extended into the stomach to prepare for docking
3. Connect the nail butting seat with the central rod, and insert the nail butting seat into the esophagus. The lower edge of the esophagus has been pre installed with a purse string.

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The two parts of the instrument have been docked and began to close
4. Rotate the nut at the tail end of the device body to make the nail butting seat close to the device body, fire the Huaxia disposable tubular stapler to complete the esophagogastrostomy, and close the gastric incision with the Huaxia disposable linear stapler.

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5. It can also be anastomosed with the esophagus at the left end of the gastric closure line (greater curvature of the stomach).

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The central rod is extended from the side of the cut-off end of the stomach for docking
6. If possible, the proximal stomach is wrapped and sutured at the esophagogastric anastomosis to prevent anastomotic leakage and reflux.

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The anastomotic stoma was surrounded by gastric wall tissue on both sides of the stomach
7. Esophagogastrostomy can also be performed. Cut a small opening at the appropriate part of the anterior gastric wall, insert the two leaves of Huaxia disposable linear cutting suture device into the broken end of esophagus and the incision of gastric wall respectively, close and fire the disposable linear cutting suture device.

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Insert two pages of Huaxia disposable linear cutting stapler into the lower esophagus and gastric incision respectively and close them for firing
8. The esophagogastric side to side anastomosis has been partially completed, and three needle traction lines have been made at the edge of the anastomosis. The anastomosis was completed by closing with a disposable linear stapler.

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Esophagogastric anastomotic state, lift the opening tissue with three lines

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Use Huaxia disposable linear stapler twice to close the small mouth
9. * longitudinal incision was performed on the anterior wall of pylorus. Transverse Heineke-Mikulicz pyloroplasty was used to prevent gastric retention.

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Transverse closure pyloric incision


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