摘要
目的对比分析李氏吻合与器械吻合在食管癌微创手术中的临床应用效果。方法采用病例对照研究方法,回顾性分析2018年1月至2019年6月在本院胸心外科行微创手术治疗的80例食管癌患者的临床资料,按照食管胃吻合方式分为李氏吻合组(38例)和器械吻合组(42例)。比较两组患者的手术完成时间、颈部吻合口直径、经口进食时间、术后住院天数、住院总费用、术后并发症发生率及30 d再入院率等指标。结果李氏吻合组的术后住院天数、住院总费用、经口进食时间等指标均优于器械吻合组,差异均有统计学意义(均P<0.05),两组的手术完成时间、颈部吻合口直径、术后并发症发生率及30 d再入院率的比较差异均无统计学意义(均P>0.05)。结论李氏吻合应用于微创食管癌手术在促进早期经口进食、缩短术后住院时间、减少住院费用等方面优于器械吻合,且适用于微创食管癌术后加速康复外科模式。
Objective To compare the clinical effect of Li’s anastomosis and instrumental anastomosis in minimally invasive surgery for esophageal cancer.Methods In the case control study,the clinical data of 80 patients with esophageal cancer undergoing minimally invasive surgery in Department of Cardiothoracic Surgery of our hospital between January 2018 and June 2019 was retrospectively analyzed.According to different esophagogastric anastomotic techniques,all patients were divided into the Li’s anastomosis group(38 patients)and the instrumental anastomosis group(42 patients).The operation time,diameter of neck anastomosis,time of oral feeding,length of postoperative stay,hospitalization expense,incidence of postoperative complications,and rate of 30-day re-admission in the two groups were compared.Results The length of postoperative stay,hospitalization expense,and oral feeding time of the Li’s anastomosis group were better than those of the instrumental anastomosis group,with statistically significant differences(all P<0.05).There were no statistically significant differences in the operation time,diameter of neck anastomosis,incidence of postoperative complications,and rate of 30-day re-admission between the two groups(all P>0.05).Conclusion Li’s anastomosis applied in minimally invasive surgery for esophageal cancer is superior to instrumental anastomosis in promoting early oral feeding,shortening postoperative hospital stay,reducing hospitalization expenses,and it is suitable for enhanced recovery program after minimally invasive surgery for esophageal cancer.
作者
李贤浩
梁柱
谢漫
曾贵青
吕文强
Li Xianhao;Liang Zhu;Xie Man;Zeng Guiqing;Lyu Wenqiang(Guangdong Medical University,Zhanjiang 524000,China;Department of Cardiothoracic Surgery,Jieyang People's Hospital,Jieyang 522000,China;Department of Cardiothoracic Surgery,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524000,China)
出处
《国际医药卫生导报》
2020年第13期1912-1915,共4页
International Medicine and Health Guidance News
关键词
李氏吻合
器械吻合
食管癌
微创手术
快速康复
回顾性分析
Li’s anastomosis
Instrumental anastomosis
Esophageal cancer
Minimally invasive surgery
Enhanced recovery after surgery
Retrospective analysis
