摘要
目的探讨消化道不同重建路径对胸腔镜联合食管癌手术治疗术后的疗效。方法回顾性分析2014年1月至2015年12月在我院就诊的85例胸腔镜联合食管癌手术患者的临床资料,其中43例经食管床径路(食管床组)、42例经胸骨后径路(胸骨后组)手术,比较两组手术时间、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。结果两组手术时间、术中出血量、术后住院时间以及胃管留置时间差异无统计学意义(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组(P<0.05)。两组在吻合口狭窄、吻合口瘘、呼吸衰竭以及心律失常方面的发生率差异均无统计学意义(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,应综合患者个体化选择消化道重建径路。
Objective To evaluate the postoperative outcome of patients undergone gastric tube reconstruction via different digestive tract routes after esophageetomy combined with thoracoscopy for esophageal carcinoma. Methods Clinical data of 85 patients who underwent esophageetomy with thoraeoseopy from January 2013 to December 2014 were retrospectively analyzed. In these patients, 43 patients were reconstructed digestive tract in front of the spine （prevertebral group） while another 42 patients were reconstructed di- gestive tract via retrosternal path （ retrosterual group）. The operation time, intraoperative blood loss, hospital stay, gastric tube indwelling time, gastric drainage volume and postoperative adverse reaction were compared between the two groups. Results No significant differ- ences in operation time, intraoperative blood loss, hospital stay and gastric tube indwelling time were found between the two groups （P 〉 0.05 ）. There was no death case in the both groups. The incidence of postoperative pulmonary infection in the prevertebral group was higher than that in the retrosterual group （P 〈 0. 05 ）. The differences in anastomotic stenosis, anastomotic leakage, respiratory failure and cardiac arrhythmia were not significant between the two groups （P 〉 0. 05 ）. Conclusion In the esophagectomy combined with thoraeoscopy and laparoscopy for esophageal carcinoma, gastric tube reconstruction via the prevertebral and the retrosternal approaches have similar outcomes. Gastric tube reconstruction should be considered under comprehensive individual choice.
出处
《实用医院临床杂志》
2017年第3期88-90,共3页
Practical Journal of Clinical Medicine
关键词
胸腔镜
消化道重建
食管癌
Thoracoscopy
Gastric tube reconstruction
Esophageal carcinoma
