食管癌、贲门癌切除术后脓胸的预防

Prevention of Empyema Following Resection of Esophageal and Cardia Carcinoma

从1998年7月～2000年10月,我们共行食管癌、贲门癌切除,食管胃吻合术108例,无术后脓胸和伤口感染病例发生。作者认为在食管的游离、切断、吻合过程中严守无菌技术,避免食管胃内容物污染手术野;稀盐水碘伏消毒污染区;充分的胸腔引流;给予有效抗生素等措施的综合应用,能有效地预防术后脓胸的发生。

From July 1998 to October 2000 esophageal and cardia carcinoma were resected and esophagogastric anastomoses were performed in 108 cases. There was not a single case of postoperative empyema observed and the incision infection was not found in all cases. Strict aseptic techniques were adopted to avoid the contamination of operative field by the esophageal and gastrointestinal contents during the esophagogastric dissection, transsection and anastomosis. Dilute saline iodophor was ap'plied locally to disinfect the contaimination . Adequate drainage of the pleural cavity was ensured by using properly sized intercostal tubing inserted at the dependant place. Effcetive antibiotics were given postoperatively. The procedures used are quite effective in preventing postoperative empyema in cases of surgical treatment of esophageal and cardia carcinoma.