经食管床食管胃弓上吻合术治疗食管癌的疗效分析  

Eesophago-gastric anastomosis of in the esophagus bed for the digestive tract reconstruction.

作　　者：薛永生[1] 苏伟强[1] 吴玮[1] 华军[1] 蒋科[1] 

机构地区：[1]南京医科大学附属无锡市第二人民医院胸外科,214002

出　　处：《大众健康（理论版）》2012年第10期60-61,共2页

基　　金：无锡市科技局立项课题,项目编号：cs055003

摘　　要：目的：探讨采用管状弯杆吻合器，经食管床弓上食管胃端侧吻合术治疗食管癌的疗效。方法：总结2006年6月-2011年6月172例食管中下段癌（其中87例采用经食管床胃食管弓上吻合，85例采用主动脉弓前弓上食管胃吻合）手术治疗的临床资料。结果：两组对比，经食管床食管胃弓上吻合组术后并发症总发生率11．5％，对照组为40．0％，两组相差显著（p〈0．05）：术后随访3、5年生存率两组并无统计学差异。结论：采用管状弯杆吻合器，经食管床行胃食管弓上吻合术治疗食管中下段癌，具有扩大切除范围，降低术后并发症，提高术后生活质量的优点。Objective：To investigate the value of Eesophagogastric anastomosis of in the esophagus bed for the digestive tract reconstruction. Methods：172 patients with lower and medal part of esophageal cancer underwent esohagectomy from Jun. 2006 to Jun. 2011. Of 87 patients were anastomosed above aortic arch in the esophagus bed using tubiform stapler with cyrto-stalk. The other 85 cases were anastomosed above and front of the aortic arch using tubiform stapler with cyrto-stalk too. Results：The morbidity of surgical complications following the operation was 11.5%, and 40.0% in the two groups respectively. There was a significant difference between the two groups but no difference in long-term survival rate. Conclusion ：Eesophago-gastric anastomosis of in the esophagus bed for the digestive tract reconstruction is benefited to the patients with esophageal cancer.

关 键 词：食管癌手术 食管床 并发症 

分 类 号：R735.1[医药卫生—肿瘤]