摘要
目的介绍食管癌手术中细管状胃代食管技术及手术中经鼻或经皮穿刺方式放置空肠营养管的方法。方法我科从2003年7月至2006年4月，对就诊的食管癌患者（接受两切口及三切口手术）采用传统管状胃代食管技术，2006年5月至2009年11月对就诊的食管癌患者采用细管状胃代食管技术，所有食管癌患者均进行术中空肠营养管置入术，术后早期给予肠内营养支持。结果围手术期无死亡病例。改进的细管状胃代食管组患者术中管状胃长度较满意，器械吻合操作顺利，两组患者术后生存率差异无统计学意义。结论在食管癌切除术的处理中，胃大弯侧细管状胃的使用，能提供器械吻合的便利，术中放置空肠营养管有利于术后早期肠内营养支持的开展。
Objective To describe the modified （narrowed） gastric tube and two methods on the establish- mentor enteral feeding pathway in esophagectomy. Methods From July 2003 to April 2006, we made traditional gas- tric tube for patients underwent esophagectomy to substitute the dissected esophagus while from May 2006 to November 2009, we made modified gastric tube for the same purpose. From July 2003 to November 2009, enteral nutrition tubes for all these patients are placed intraoperatively by two different ways, which made early post-operative nutrition support possible for these patients. Results No perioperative death occurred among the patients. The length of the modified gastric tube ensured the anastomosis by circular stapler at the apex thorax or in the bases of cervical region. No statisti- cal differences were found between the two group in terms of survival rate. The intraoperative establishment of enteral nutrition pathway ensured the early enteral nutrition support after the operation. Conclusion The utility of the modi- fied gastric tube extends the length of gastric tube to make mechanical anastomose easier and safer; meanwhile, the intraoperative establishment of enteral nutrition pathway ensures the early enteral nutrition support after the operation.
出处
《中华临床营养杂志》
CAS
2011年第6期377-382,共6页
Chinese Journal of Clinical Nutrition
关键词
管状胃
食管癌
肠内营养
食管癌切除术
Gastric tube
Carcinoma of esophagus
Enteral nutrition
Esophageetomy
