摘要
Abstract
Objective To summarize the clinical experience of gastric tube for reconstruction of the digestive tract in e-sophageal carcinoma radical operation by left thoracic incision, and explore its safety and clinical outcome. Methods From January 2007 to June 2010, 434 cases of thoracic segment esophageal carcinoma patient received radical operation in our hospital were divided into the gastric tube group and the traditional whole stomach group. The clinical index including operation time, postoperative hospital stay time, the rate of postoperative complications between two groups was observed and compared. Results There was no statistically difference in the operation time, postoperative hospital stay time, and the case of pTNM staging between two groups. Compared with the traditional whole stomach group, the amount of dissected lymph node and the amount of postive lymph node in the gastric tube group were significantly increased (P < 0. 05), the rate of anastomotic leakage, thoracic stomach syndrome, heart and lung complications and mortality during postoperative earlier period were significantly decreased (P <0. 05). During the follow-uping period, the rate of thoracic stomach syndrome, reflux esophagitis, anastomotic stenosis, carcinoma relapse, carcinoma distant metastase and death in the gastric tube group were lower than those in the traditional whole stomach group (P<0. 05). Conclusion Gastric tube is simple and safe, doesn't prolong the operation time and hospital stay time. It has fewer complications. It can improve the patients' life quality and raise the survival rate. It has a good value in clinical application.关键词
食管癌/管状胃/临床效果Key words
esophageal carcinoma/ gastric tube/ clinical outcome分类
医药卫生
