管状胃经主动脉弓后行食管胃胸内吻合术在食管癌患者中的应用

Clinical Value of Gastroesophageal Anastomosis via Post-Aortic Arch with Tube-Tailored Stomach in Patients with Esophageal Cancer

目的:探讨管状胃经主动脉弓后行食管胃胸内吻合术的可行性及临床价值。方法:回顾性分析2007年3月至2014年5月之间在海军总医院胸外科接受管状胃经主动脉弓后术式的食管癌患者的手术过程,术中风险及术后并发症发生率数据。结果:共有303例患者接受管状胃经主动脉弓后行胃食管胸内吻合术。手术实施过程顺利,手术历时平均2.0h,术中出血平均170ml。术后并发症发生率53例(17.5%),无围手术期死亡发生。患者术后平均住院时间8.6d。结论:管状胃经主动脉弓后行食管胃胸内吻合术是一种简便、易行、安全的手术方式。

Objective：To observe the clinical values of gastroesophageal anastomosis through post-aortic arch with tube-tailored stomach.Methods：To retrospectively analyze the surgical procedures of gastroesophageal anastomosis through post-aortic arch with tube-tailored stomach and to analyze the clinical outcomes of patients undergoing this novel surgical process because of esophageal cancer.Results：A total of 303 patients undergoing this surgical process were enrolled into this study.The mean duration of surgical process was 2.0hours and the mean blood lose was 170 ml.The rate of post-operative complication was 17.5% and no peri-operative death occurred.The mean hospital stay time was 8.6days.Conclusion：Gastroesophageal anastomosis via post-aortic arch with tube-tailored stomach is an easy and safe process.