重庆医学2012，Vol.41Issue(30)：3155-3156,3159,3.DOI:10.3969/j.issn.1671-8348.2012.30.010
食管癌切除术后颈部食管胃侧侧吻合与手工端侧吻合效果的对照研究
Comparison of esophagogastric side-side anastomosis and hand-sewn end-side anastomosis in neck after esophagectomy for carcinoma
杨列 1郑轶峰 1姜建青 1俞永康 1郑琇山 1李卫1
作者信息
- 1. 成都军区总医院心胸外科,成都,610083
- 折叠
摘要
Abstract
Objective To investigate the effect of esophagogastric side to side anastomosis in neck after esophagectomy and gastric tube reconstruction on esophageal carcinoma patients. Methods 44 patients with thoracic esophageal carcinoma scheduled to undergo esophagectomy and esophagogastric anastomosis in neck were enrolled. They were randomly assigned into two groups of 22:the hand-sewn anastomosis group(HSA) and the side to side anastomosis(SSA)group. All the patients received three-incisions esophagectomy and gastric tube reconstruction. The patients in HSA group received two layers hand-sewn esophagogastric anastomosis in the neck and the patients in SSA group received side to side esophagogastric anastomosis with linear stapler and two layers hand-sewn in the neck. Results All the patients were operated successfully. One case in SSA group was lost in follow-up. There was one patient with anastomastic leak in each group. There were 3 patients with anastomastic stricture in HSA group and but no one in SSA group, istically. There was difference between two groups statistically. There was no difference between two groups sta-tiseicolly heart burning、regvrgitostion、reflux esophagitis. Conclusion Ksophagogastric side to side anastomosis in neck after esophagectomy in esophageal carcinoma patients reduce the incidence of the anastomostic leak compared with layers hand-sewn anastomosis.
关键词
食管肿瘤/管状胃/吻合术,外科Key words
esophageal neoplasms/gastric tube/anastomosis,surgical引用本文复制引用
杨列,郑轶峰,姜建青,俞永康,郑琇山,李卫..食管癌切除术后颈部食管胃侧侧吻合与手工端侧吻合效果的对照研究[J].重庆医学,2012,41(30):3155-3156,3159,3.
