食管癌切除食管胃颈部吻合术126例临床分析  

Clinical analysis of 126 cases of esophagectomy and cervical esophagogastrostrostomy

作　　者：刘向阳 许江宾 Liu Xiangyang Xu Jiangbin(Department of Thoracic Surgery, the People＇s Hospital of Yanshi, Luoyang 471900, China)

机构地区：[1]偃师市人民医院胸外科,河南洛阳471900

出　　处：《河南医学研究》2017年第15期2709-2711,共3页Henan Medical Research

摘　　要：目的分析食管癌(EC)切除食管胃颈部吻合术的优点、并发症及注意事项。方法选取2012年3月至2015年2月于偃师市人民医院行EC切除及食管胃颈部吻合术的126例患者。分析EC切除食管胃颈部吻合术的优点、并发症及注意事项。结果本研究中根治性切除114例,姑息性切除12例,两切端均未发现癌残留。术后随访2 a,死亡率为0.79%,吻合口狭窄率为14.29%,吻合口瘘率为6.35%,吻合口颈动脉瘘发生率为1.59%,纵膈腔感染率为1.59%,喉返神经损伤率为0.79%,乳糜胸发生率为1.59%,肺栓塞发生率为0.79%。结论 EC切除食管胃颈部吻合术为消化道重建的可靠术式,可彻底切除病变,并发症较少,操作性强,值得推广。Objective To analyze the advantages, complications and cautions of cervical esophagogastrostomy and cervical esophagogastrostrostomy （EC）. Methods Onehundred twenty - six patients of EC treated with cervical esophagogastrostomy were selected, and the advantages, complications and cautions of cervical esophagogastrostomy were analyzed after two years. Results Radical operation was performed in 114 cases and palliative operation in 12 cases, no residual cancer was found in all pa- tients. After two years＇ follow - up, the operative mortality rate was 0.79% ; the anastomotic stenosis rate was 14. 29% ; the anas- tomotie leakage rate was 6. 35% ; the anastomotic fistula of carotid artery was 1.59% ; the mediastinal infection rate was 1. 59% ; The injury rate of recurrent laryngeal nerve was 0. 79% ; the chylothorax occurred rate was 1.59% and the pulmonary infarction in- cidence rate was 0.79%. Conclusion Cervical esophagogastrestomy on esophageal carcinoma is a reliable surgical method for di- gestive tract reconstruction. It can completely remove the lesion and has fewer complications, worthy of popularizing.

关 键 词：食管癌 食管胃颈部吻合术 吻合口瘘 

分 类 号：R735.1[医药卫生—肿瘤]