摘要
目的探讨消化道不同重建径路对食管癌手术联合胸腔镜治疗术后的疗效。方法回顾性分析2013年1月至2014年12月在本院就诊的85例胸腔镜联合食管癌手术的临床资料,其中43例经食管床径路(食管床组)、42例经胸骨后径路(胸骨后路组)手术,比较两个手术组手术时间、术中出血量,住院时间,胃管留置时间,胃液引流量以及术后并发症情况。结果两个手术组手术时间、术中出血量、术后住院时间以及胃管留置时间无明显差别(P>0.05)。两组手术期间均无死亡病例。食管床组术后肺部感染发生率明显高于胸骨后路组,差异有统计学意义(P<0.05)。两个手术组在吻合口狭窄、吻合口瘘、呼吸衰竭以及心律失常方面的发生率均没有显著性差异(P>0.05)。结论胸、腹腔镜联合食管癌手术消化道不同重建径路术后疗效差异不大,应根据患者的个体情况选择消化道重建径路。
Objective To evaluate the postoperative outcome of the patients undergone gastric tube reconstruction via different routes after esophagectomy combined with thoracoscopy for esophageal carcinoma.Methods A total of 85 patients who underwent esophagectomy with thoracoscopy from January 2013 to December2014 were analyzed retrospectively. There were 43 patients in prevertebral group and 42 in retrosterual group.Evaluation indicators included the outcome of the operation and perioperative complications. Results No significant differences was found between the two groups in operation time,intraoperative blood loss,hospital stay,anastomotic leakage,anastomotic stricture,respiratory failure,cardiac arrhythmia,stomach tube indwelling time and other complications（ P 0. 05）. The substernal group had significantly lower incidences of gastric fluid drainage amount and lung infection（ P 0. 05）. Conclusions In the esophagectomy combined with thoraeoscopy and laparoscopy for esophageal carcinoma,gastric tube reconstruction via the prevertebral and the retrosternal approaches have similar outcomes,individualized gastric tube reconstruction should be considered.
出处
《齐齐哈尔医学院学报》
2016年第16期2046-2048,共3页
Journal of Qiqihar Medical University
关键词
胸腔镜
消化道重建
食管癌
Thoracoscopy
Gastric tube reconstruction
Esophageal carcinoma
