摘要
目的分析胸腹腔镜食管胃颈部吻合术中管状胃经胸骨后与食管床不同上提路径对食管癌患者手术并发症的影响。方法按照胸腹腔镜食管癌切除、胃颈部吻合术中不同上提路径将85例确诊食管癌患者分为食管床组42例和胸骨后组43例,术后观察两组患者的手术指标和并发症发生情况。结果两组患者手术时间、术中出血量、住院时间、吻合口瘘、吻合口狭窄、呼吸衰竭、心律失常和其他并发症发生率比较,P>0.05;胸骨后组胃管留置时间、胃液引流总量、肺部感染和胸腔感染发生率明显低于食管床组,P<0.01或P<0.05。结论胸腹腔镜食管胃颈部吻合术中管状胃经胸骨后上提路径治疗食管癌效果确切,能够减少胃管留置时间和胃液引流总量,降低术后肺部感染和胸腔感染的发生率。
Objective To analyze the influences of trans-substernal and trans-esophageal bed lifting paths of tubular stomach on the operative complications of patients with esophageal cancer in the laparoscopic cervical esophagogastric anastomosis. Methods Eight-five patients diagnosed with esophageal cancer who received laparoscopic esophageal can-cer excision and cervical stomach anastomosis were divided into the esophageal bed group with 42 patients and the substernal group with 43 patients. The postoperative surgical indicators and complications were observed. Results The two groups were not significantly different in the incidences of operative time, intraoperative blood loss, hospital stay,anastomotic leakage, anastomotic stricture, respiratory failure, cardiac arrhythmia and other complications （P〉0.05）. The substernal group had significantly lower incidences of stomach tube indwelling time, gastric fluid drainage amount, lung infection and chest infection than the esophageal bed group （P〈0.01 or P〈0.05）. Conclusion In the la-paroscopic cervical esophagogastric anastomosis,the trans-substernal lifting path of tubular stomach shows accurate ef-ficacy in the treatment of esophageal cancer, can reduce the stomach tube indwelling time and gastric fluid drainage amount,and can reduce the incidences of postoperative lung infection and chest infection.
出处
《中国现代医生》
2014年第25期128-130,133,共4页
China Modern Doctor
关键词
管状胃
胸腹腔镜
食管癌切除术
食管胃颈部吻合术
手术并发症
Tubular stomach Chest laparoscopy Esophageal cancer resection Cervical esophagogastric anastomosis Surgical complications
