管状胃经胸骨后路径在胸腔镜食管癌根治术中的应用效果  

Application effect of tubular stomach through the retrosternal pathway in thoracoscope radical resection of esophageal cancer

作　　者：朱孝中[1] 陈圣杰[1] 李刚[1] 王晓刚 韦斌 刘理刚 ZHU Xiao-zhong;CHEN Sheng-jie;LI Gang;WANG Xiao-gang;WEI Bin;LIU Li-gang(Cardiothoracic Surgery Department,Affiliated Hospital of Jiangsu University,Zhenjiang 212001;General Surgery and Thoracic Surgery Department,Pucheng Hospital of Shaanxi Provincial People's Hospital,Weinan 715500,China)

机构地区：[1]江苏大学附属医院胸心外科,江苏镇江212001 [2]陕西省人民医院蒲城医院普外胸外科,陕西渭南715500

出　　处：《临床医学研究与实践》2020年第14期15-17,共3页Clinical Research and Practice

摘　　要：目的探讨管状胃经胸骨后路径在胸腔镜食管癌根治术中的应用效果。方法回顾性分析2015年1月至2018年12月在我院行胸腔镜食管癌根治术的76例患者的临床资料,根据管状胃上提路径的不同分为试验组(30例,经胸骨后路径)与对照组(46例,经食管床路径)。比较两组的手术相关指标、并发症发生情况及术后半年的恢复状况。结果两组的手术时间、术中出血量及术后总引流量比较,差异均无统计学意义(P>0.05)。两组的围手术期并发症总发生率比较,差异无统计学意义(P>0.05)。两组患者术后半年体重减轻、进食不适及疼痛不适等方面评分比较,差异均无统计学意义(P>0.05);试验组反酸控制方面评分明显低于对照组(P<0.05)。结论管状胃经胸骨后路径与食管床路径一样,是胸腔镜食管癌根治术中可选择的安全有效的路径之一,且在术后反酸控制方面优于食管床路径。Objective To explore the application effect of tubular stomach through the retrosternal pathway in thoracoscope radical resection of esophageal cancer.Methods The clinical data of 76 patients who underwent thoracoscope radical resection of esophageal cancer in our hospital from January 2015 to December 2018 were analyzed retrospectively.According to the different ascending route of the tubular stomach,the patients were divided into experimental group(30 cases,via the retrosternal pathway)and control group(46 cases,via the esophageal bed pathway).The operation related indexes,complications and recovery at half a year after operation of the two groups were compared.Results There were no significant differences in operation time,intraoperative hemorrhage and postoperative total drainage between the two groups(P>0.05).There was no significant difference in the total incidences of perioperative complications between the two groups(P>0.05).There were no significant differences in the scores of weight loss,eating discomfort and pain discomfort at half a year after operation between the two groups(P>0.05);the score of acid regurgitation control in the experimental group was significantly lower than that in the control group(P<0.05).Conclusion The tubular stomach through the retrosternal pathway is the same as that of the esophageal bed pathway,and it is one of the safe and effective pathway to be selected in the thoracoscopic resection of esophageal cancer,which is better than that of esophageal bed pathway in acid regurgitation control.

关 键 词：管状胃 胸骨后路径 胸腔镜 食管癌根治术 

分 类 号：R735[医药卫生—肿瘤]