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微创食管切除、食管胃颈部吻合术中对三角吻合术的应用

Minimally invasive esophagectomy, cervical esophagogastric anastomosis anastomosis applications triangular
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摘要 目的探讨微创食管切除、食管胃颈部吻合术应用三角吻合术的安全性和可行性临床疗效。方法纳入我院2010年1月至2014年11月需要行微创食管切除、食管胃颈部吻合术手术的患者100例,收集纳入研究患者的临床病例特征,手术出血量、手术时间、吻合术进行时间;术后排气时间、进流质时间、术后的住院天数及吻合口大小及并发症及随访情况。结果手术出血量为48.8±30.12ml,手术时间为150.2±29.3min,吻合术进行时间为12.3±4.5min;术后的排气时间为3.1±1.2d,进流质时间为5.1±1.1d,术后的住院天数为12.3±6.1d;并发症的情况:出现吻合口瘘的病例数为2例,通过保守治疗治愈,并未出现吻合口出血、吻合口狭窄等相关并发症。结论三角吻合术在微创食管切除、食管胃颈部吻合术应用中安全可行,其操作简单,疗效显著,值得临床推广。 Objective To investigate the minimally invasive esophagectomy, cervical esophagogastric anastomosis safety and feasi- bility of the clinical efficacy of the triangle anastomosis. Methods Our hospital from January 2013 to November 2014 require minimally invasive esophagectomy, esophageal anastomosis in 100 patients and neck surgery, the patients included in the study were collected clinical characteristics of patients, surgical blood loss, operative time, consistent the time surgery; postoperative discharge time, into the liquid time,hospital stay and postoperative anastomotic complications and follow-up of cases and size. Results The blood loss was 48.8±30.12ml, operative time was 150.2±29.3min, anastomosis of the time for 12.3±4.5min; exhaust time after surgery was 3.1 ±1.2d, into the liquid time was 5.1 ± 1. 1d, postoperative hospital stay was 12. 3±6.1d; cases of complieations: the emergence of the number of cases of anastomotic leakage is two cases, by conservative treatment, did not appear anastomotic bleeding, anastomotic stricture and other related complications. Conclusion Triangle anastomosis in minimally invasive esophageetomy, esophageal anastomosis in the neck is safe and feasible,simple operation, a significant effect, worthy of promotion.
出处 《检验医学》 CAS 2016年第B09期169-171,共3页 Laboratory Medicine
关键词 微创食管切除术 食管胃颈部吻合术 三角吻合术 治疗效果 Minimally invasive esophagectomy esophageal anastomosis neck triangle anastomosis treatment effect
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