摘要
目的:探讨胸腹腔镜食管癌切除术中胸胃采用不同上提路径对患者术后的影响。方法:2009年6月～2009年12月共35例患者行胸腹腔镜食管癌切除术,分为食管床路径组和胸骨后路径组,胸骨后路径组20例,食管床路径组15例。评价指标包括手术出血量、手术时间、切除淋巴结的数量、术后胃液量、围术期并发症,术后住院时间。结果:2组间手术出血量、手术时间、切除淋巴结的数量、术后住院时间无统计学差异。胸骨后路径组术后患者肺部并发症和胃液量均明显少于食管床路径组,但吻合口瘘的发生率却明显高于食管床路径组。结论:胸腹腔镜食管癌切除术中胸胃采用不同上提路径各有利弊,应随个体病例而确定使用的路径。
Objective：To Evaluation in Patients with Different Gastric Tube Reconstruction after esophagectomy With thoracoscopy and laparoscopyfor esophageal carcinoma.Methods Fromjune 2009 toDecember 2009,35 esophageal cancer patients underwent esophagectomy With thoracoscopy and laparoscopy for esophageal carcinoma.There were 20 patients in the retrosternal group and 15 in the prevertebral group Evaluation indicators include the amount of surgical bleeding,operative time,number of lymph nodes removed,Postoperative gastric juice volume,perioperative complications,postoperative hospital stay.Results Amount of bleeding,operative time,number of lymph nodes removed,postoperative hospital stay between the two groups surgery was no statistical difference.postoperative pulmonary complications and gastric juice volume in the retrosternal group were significantly lower than that of the prevertebral group.Anastomotic leakage occurred more frequently in retrosternal group than in preyertebral group.Conclusion：In esophagectomy With thoracoscopy and laparoscopy for esophageal carcinoma,different path has their own advantages and disadvantages.Determining the path to use should be in according with the patients,condition
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2010年第5期788-789,共2页
Journal of Chongqing Medical University
关键词
胸腔镜
腹腔镜
胸胃重建
Thoracoscopy
Laparoscopy
Gastric tube reconstruction
