FTS联合管状胃技术在贲门癌近端胃切除术中的应用  

Application of FTS combined with tubular gastric technique in proximal gastrectomy of cardiac cancer

作　　者：张冬蕾[1] 钱昌林[2] 魏华兵[1] 周力璜[1] 钱晓哲[1] ZHANG Dong-lei;QIAN Chang-lin;WEI Hua-bing;ZHOU Li-huang;QIAN Xiao-zhe(Department of Thoracic Surgery,Renji Hospital,Shanghai Jiaotong University School ofMedicine,Shanghai 201112,China;Department of General Surgery,South Campus,Renji Hospital,Shanghai Jiaotong University School ofMedicine,Shanghai 201112,China)

机构地区：[1]上海交通大学医学院附属仁济医院南院胸外科,上海201112 [2]上海交通大学医学院附属仁济医院南院普外科,上海201112

出　　处：《中国现代普通外科进展》2020年第9期696-699,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:探讨快速康复外科(FTS)联合管状胃技术在贲门癌近端胃切除术中的可行性及临床价值。方法:选取2017年1月~2019年6月收治的40例贲门癌患者,按照手术方法随机分为管状胃组(实验组)和传统组(对照组)各20例,其中实验组在围手术期采用FTS方法处理,对照组采用传统方法治疗。分别比较两组患者围手术期情况(手术时间、术中出血量、引流管置管时间、肠道功能恢复时间),术后3d引流量及疼痛评分、住院时间及术后并发症等指标。结果:两组患者在手术时间、术中出血量、术后3 d引流量等方面差异无统计学意义(P>0.05)。实验组在引流管置管时间、肠道功能恢复时间、住院时间方面优于对照组,并发症发生率低,差异有统计学意义(P<0.05)。实验组术后疼痛评分低于对照组,差异有统计学意义(P<0.05)。结论:FTS理念联合管状胃技术在贲门癌近端胃切除术中运用在减少手术应激同时有效降低并发症,进一步缩短住院时间,促进患者康复,值得临床推广。Objective:To explore the feasibility and clinical value of fast track surgery(FTS)combined with tubular gastric technique in proximal gastrectomy of cardiac cancer.Methods:40 patients with cardiac cancer from January 2017 to June 2019 were randomly divided into the tubular gastric group(experimental group)and the traditional group(control group)according to the operation method.The experimental group was treated with FTS method in the perioperative period and the control group was treated with the traditional method.The perioperative conditions(operation time,intraoperative bleeding volume,retention time of drainage tube,recovery time of intestinal function),postoperative drainage volume,pain score,hospitalization time and postoperative complications were compared between the two groups.Results:There was no significant difference between the two groups in operation time,intraoperative bleeding volume and postoperative drainage volume(P>0.05).The experimental group was better than the control group in the retention time of drainage tube,recovery time of intestinal function and hospitalization time,incidence of complications was lower,the difference was statistically significant(P<0.05).The pain score of the experimental group was lower than that of the control group(P<0.05).Conclusion:It is a safe and effective method to use the FTS concept combined with the tubular gastric technology in the proximal gastrectomy of cardiac cancer.It can reduce the stress of operation and the complications,further shorten the hospitalization time and promote the recovery of patients.It is worthy of clinical promotion.

关 键 词：快速康复外科 管状胃技术 贲门癌 近端胃切除 

分 类 号：R655.4[医药卫生—外科学]