局解手术学杂志2018，Vol.27Issue(1)：28-31,4.DOI:10.11659/jjssx.11E017044
食管癌切除食管胃端端分层吻合35例疗效分析
Analysis of 35 cases with end-to-end layered anastomosis in esophagogastrostomy after esophagectomy
阚奇伟 1郑磊 1庞金桥 1崔辉 1胡祥 1石勇 1刘泗军 1胡杨2
作者信息
- 1. 西南医科大学临床教学医院,眉山市人民医院胸外科,四川眉山620010
- 2. 四川大学华西医院胸外科,四川成都610041
- 折叠
摘要
Abstract
Objective To evaluate the surgical efficacy of end-to-end layered anastomosis for patients with esophagogastrostomy after esophagectomy.Methods Selected 35 patients who received end-to-end layered anastomosis in esophagogastrostomy after esophagectomy in people' s hospital of Meishan from January 2016 to February 2017 as end-to-end group,while 21 patients with end-to-side layered anastomosis in esophagogastrostomy after esophagectomy as end-to-side group.The anastomosis time,anastomosis tension,oppression degree,fistula incidence,acid reflux incidence,belching incidence and obstruction incidence between two groups were compared.Results The average anastomosis time was (25.17 ± 5.15)minutes in end-to-end group,and (26.10 ± 5.30)minutes in end-to-side group,the difference was not significant (P ＞ 0.05).The anastomosis tension of end-to-end group,without oppression,was mostly smaller than that of end-to-side group.There were no case of anastomotic fistula in end-to-end group and 2 cases(14.29％) of anastomotic fistula in end-to-side group,the difference was not significant (P ＞ 0.05).There were no case of obstruction in end-to-end group and 4 cases (19.05％) of obstruction in end-to-side group,the difference was significant (P =0.016).There was no significant difference in acid reflux and belching between the two groups (P ＞ 0.05) in perioperative period and 6 months after surgery.There was no delayed anastomotic fistula and anastomotic stenosis needing expansion in 6 months after surgery.Conclusion Without causing more adverse reactions,end-to-end layered anastomosis in esophagogastrostomy after esophagectomy can avoid the incision that may affect the blood supply of esophagus and stomach,and avoid the pressure from esophagus and stomach.关键词
食管癌/端端分层吻合/端侧分层吻合/吻合口瘘/吻合口狭窄Key words
esophageal carcinoma/end-to-end layered anastomosis/end-to-side layered anastomosis/anastomotic fistula/anastomotic stenosis分类
医药卫生引用本文复制引用
阚奇伟,郑磊,庞金桥,崔辉,胡祥,石勇,刘泗军,胡杨..食管癌切除食管胃端端分层吻合35例疗效分析[J].局解手术学杂志,2018,27(1):28-31,4.
