微创食管癌术后吻合口瘘危险因素的分析

Analysis of risk factors of anastomotic fistula after minimally invasive esophagus carcinoma

目的:探讨微创食管癌术后吻合口瘘危险因素。方法:收治鳞癌患者100例,分为微创组70例和开放组30例。结果:开放组吻合口瘘发生率低于微创组(P<0.05)。结论:手术方式、吻合口是否悬吊、外周营养方式、术后第2天人血白蛋白与吻合口瘘的发生有着密切的关系,是重要因素。

Objective:To explore the risk factors of anastomotic fistula after minimally invasive esophagus carcinoma.Methods:100 cases of squamous cell carcinoma were selected,which were divided into 70 cases of minimally invasive group and 30 cases in open group.Results:The incidence of anastomotic fistula of the open group was lower than that of the minimally invasive group(P<0.05).Conclusion:Surgical approach,whether anastomotic suspension,peripheral nutrition,and postoperative anastomotic fistula second days serum albumin is closely related to the occurrence,which is an important factor.