胃管状成形食管癌切除术的临床疗效观察

Curative effect in esophageal cancer surgery with gastric tube reconstruction

目的探讨胃管状成形术在食管手术治疗食管癌的临床应用效果。方法对本院2007年7月至2010年3月间172例胃管状成形重建食管食管癌患者的临床资料进行总结分析,观察手术时间,术中失血,术后住院时间,术后胃潴留,吻合口瘘及胸胃瘘,乳糜胸,胸胃综合征,倾倒综合征等术后并发症的发生率。结果 172例患者的手术时间100～400 min,平均(239±93)min;术中失血100～2 000 mL,平均(811±386)mL;术后住院时间9～21天,平均(13±2.7)天;食管吻合口瘘12例,胸胃瘘4例,乳糜胸3例,切口感染5例,无术后胃潴留,胸胃综合征,倾倒综合征等并发症。结论胃管状成形食管癌切除术安全、可靠,符合解剖学特点,能够改善食管癌术后患者的生活质量。

Objective To discuss the curative effect of gastric tube reconstruction in esophageal cancer surgery.Methods The clinical data of esophageal cancer patients with gastric tube reconstruction from July 2007 to March 2010 were analyzed.The operation time,blood loss,postoperative stay and incidence of postoperative complications were observed.Results The operation time was 100~400 min,mean（239±93） min;blood loss was 100~2 000 mL,mean（811±386）mL;postoperative stay was 9~21 days,mean（13±2.7） days;There were 12 fistula of esophageal anastomosis,4 gastric fistula,3 chylothorax,5 incision infection and no other serious postoperative complications.Conclusion Gastric tube reconstruction is a safe and effective method in esophageal cancer surgery.This technique can improve the life quality of patients with esophageal cancer.