免胃管反穿刺法管状胃食管颈部端端吻合在微创食管癌切除术中的应用  

Application of reverse puncture in end-to-end cervical esophago-gastric anastomosis without nasogastric tube in minimally invasive esophagectomy in patients with esophageal cancer

作　　者：柳恩跃 何丹[1] 孙伟[1] 张国庆[1] 吕宏博 汪洋[1] 斯坎达尔.阿布力孜 

机构地区：[1]新疆医科大学附属肿瘤医院胸外科,新疆维吾尔自治区乌鲁木齐830011

出　　处：《肿瘤》2015年第7期801-805,共5页Tumor

摘　　要：目的 :探讨免胃管反穿刺法管状胃食管颈部端端吻合在微创食管切除中的应用价值。方法 :研究对象为2014年3月—2015年3月在新疆医科大学附属肿瘤医院胸外科接受微创食管癌切除术,并且应用反穿刺法行管状胃食管颈部端端吻合术且术中免除留置胃管及鼻肠管的83例经病理学证实的食管鳞癌患者。对术后短期吻合口相关并发症进行分析。结果 :83例患者的术后吻合口瘘发生率为2.4%(2/83),吻合口狭窄发生率为3.6%(3/83)。结论 :在微创食管癌切除术中,采用免胃管反穿刺法管状胃食管颈部端端吻合是安全而可行的,可以有效地降低吻合口瘘和吻合口狭窄的发生率。Objective：To explore the feasibility of reverse puncture in end-toend cervical esophago-gastric anastomosis without nasogastric tube in minimally invasive esophagectomy in patients with esophageal cancer.Methods：Eighty-three patients,who were pathologically diagnosed of esophageal squamous-cell cancer and underwent reverse puncture in end-to-end cervical esophago-gastric anastomosis without nasogastric tube in minimally invasive esophagectomy in Department of Thoracic Surgery of Tumor Hospital Affiliated to Xinjiang Medical University between March 2014 and March 201 5,were recruited in this study.The short-term complications related to anastomotic stoma were analyzed.Results：Of 83 patients,cervical anastomotic fistula occurred in 2 patients（2.4%）,and the anastomotic stricture occurred in 3 patients（3.6%）.Conclusion：Reverse puncture in end-to-end cervical esophago-gastric anastomosis without nasogastric tube in minimally invasive esophagectomy is feasible and safe with low incidence rates of anastomotic fistula and anastomotic stricture.

关 键 词：食管肿瘤 反穿刺法 端端吻合 微创食管切除术 

分 类 号：R735.1[医药卫生—肿瘤]