改良管状胃代替食管对胸腹腔镜下食管癌根治术患者肺功能及术后并发症的影响  

Effect of modified tubular stomach instead of esophagus on lung function and postoperative complications of patients undergoing thoracolaparoscopic radical resection of esophageal cancer

作　　者：丁洁 黄大业 赵坚 郭琪 DING Jie;HUANG Daye;ZHAO Jian;GUO Qi(Department of Oncology,Xi’an Chest Hospital,Xi’an 710061,Shaanxi,China;Department of Surgery,Xi’an Chest Hospital,Xi’an 710061,Shaanxi,China)

机构地区：[1]西安市胸科医院肿瘤科,西安710061 [2]西安市胸科医院外科,西安710061

出　　处：《癌症进展》2021年第19期1999-2001,共3页Oncology Progress

摘　　要：目的探讨改良管状胃代替食管对胸腹腔镜下食管癌根治术患者肺功能及术后并发症的影响。方法根据手术方式的不同将150例食管癌患者分为对照组(n=78)和改良组(n=72),对照组患者胸腹腔镜下食管癌根治术中给予管状胃代替食管,改良组患者胸腹腔镜下食管癌根治术中给予改良管状胃代替食管。比较两组患者的围手术期指标(手术时间、住院时间、术中出血量、术后肛门排气时间)、肺功能指标[第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、最大通气量(MVV)]及并发症发生情况。结果改良组患者手术时间、住院时间均短于对照组(P﹤0.05),术中出血量低于对照组(P﹤0.05)。术后1、3周,改良组患者FEV_(1)、VC、MVV均明显高于对照组(P﹤0.01)。改良组患者的并发症总发生率为9.72%,低于对照组患者的21.79%(P﹤0.05)。结论改良管状胃代替食管可缩短胸腹腔镜下食管癌根治术患者的手术时间、住院时间,降低并发症发生率、术中出血量,促进患者肺功能的恢复。Objective To explore the effect of modified tubular stomach instead of esophagus on lung function and postoperative complications of patients undergoing thoracolaparoscopic radical resection of esophageal cancer.Method According to different surgical methods,150 patients with esophageal cancer were divided into control group(n=78)and modified group(n=72).Patients in the control group were given tubular stomach instead of the esophagus during thoracolaparoscopic radical esophageal cancer surgery,and patients in the modified group were given modified tubular stomach instead of the esophagus during thoracolaparoscopic radical esophageal cancer surgery.The perioperative indicators(operating time,hospitalization time,intraoperative blood loss,postoperative anal exhaust time),lung function indicators[forced expiratory volume in one second(FEV_(1)),forced vital capacity(FVC),maximal voluntary ventilation(MVV)]and complications of the two groups were compared.Result The operation time and hospital stay of the patients in the modified group were shorter than those in the control group(P<0.05),and the amount of intraoperative blood loss was lower than that in the control group(P<0.05).After 1 and 3 weeks,the FEV_(1),FVC and MVV of the patients in the modified group were significantly higher than those in the control group(P<0.01).The overall incidence of complications in the modified group was 9.72%,which was lower than 21.79% in the control group(P<0.05).Conclusion The modified tubular stomach instead of the esophagus can shorten the operation time and hospital stay of patients undergoing thoracolaparoscopic radical resection of esophageal cancer,reduce the incidence of complications,intraoperative blood loss,and promote the recovery of patients’lung function.

关 键 词：食管癌 胸腹腔镜根治术 改良管状胃 并发症 

分 类 号：R735.1[医药卫生—肿瘤]