侧侧吻合在胸腹腔镜食管癌切除术中运用的临床分析

Clinical analysis and application of side-to-side esophagogastric anastomosis in esophagectomy with thoracoscopy and laparoscopy for esophageal carcinoma

目的:探讨食管胃颈部侧侧吻合在胸腹腔镜食管癌切除术中运用的安全性及可行性。方法:总结分析2011年3月至2011年9月52例食管癌患者在胸腹腔镜食管癌切除术中颈部采用食管胃侧侧吻合的临床资料。结果:患者吻合过程均顺利,全组手术时间180～435 min,平均264 min,其中吻合平均时间约23 min。术中出血50～450 ml,平均120 ml。全组无死亡病例。术后吻合口瘘发生4例,术后短期随访无吻合口狭窄。结论:食管胃颈部侧侧吻合在胸腹腔镜食管癌切除术中运用安全、可行。

Objective：To evaluate the safety and feasibility of applying side-to-side esophagogastric anastomosis in esophagectomy with thoracoscopy and laparoscopy for esophageal carcinoma.Methods：The clinical data of 52 patients underwent esophagectomy with thoracoscopy and laparoscopy for esophageal carcinoma and side-to-side esophagogastric anastomosis from March 2011 to September 2011 were analyzed retrospectively.Results：The side to side esophagogastric anastomosis was successfully performed in 52 patients.The operative time was 180 ~ 435 minutes with an average of 264 minutes and the average anastomosis time was 23 minutes.The intraoperative blood loss was 50~450 ml with an average of 120 ml.No case of postoperative death and short-term anastomotic stenosis was observed but four cases of anastomotic fistula were occurred postoperatively.Conclusion：The application of side-to-side esophagogastric anastomosis in esophagectomy with thoracoscopy and laparoscopy for esophageal carcinoma is a safe and feasibl.