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위선암의 Billroth Ⅰ 수술시 수기문합과 자동문합의 비교
노승무,나호청,윤완희,장일성,배진선 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.1
The aim of this study was to establish wheather the EEA stapler method was a secure and simple procedure for gastroduodenostomy in the stomach cancer, without increased morbidity and mortality rates compared with the manual method. During the period September 1990 to August 1993, a stapler method (n=86) or manual method n=38) was performed in 124 patients. The results were as follows ; 1) Distal one third of the stomach was prevalent site of tumor(73.4%). On gastric antrum located tumor, manual and stapler method was performed on the 32 cases(84.2%) and 59 cases(68.6%), respectively. On gastric body located tumor, manual and stapler method was performed on 6 cases(15.8%) and 27 cases(31.4%), respectively. 2) The radical and palliative resection rate of manual method was 35 cases(92.1%) and 3 cases(7.9%). The radical and palliative resection rate of stapler method was 81 cases(94.2%) and 5 cases(5.8%). 3) Major complications of the anastomotic site were stenosis and bleeding. Two cases of stenosis were observed in the stapled group(2.3%), and no case in the manual group. One case of bleeding had occured in the stapled group(1.2%), and no case in the manual group. 4) The average operation time of manual and stapler method was 269 minutes and 265 minutes, respectively. 5) The average hospital stay of manual and stapler method was 18.5 day and 19.0 day, respectively.