同济大学学报（医学版）2023，Vol.44Issue(6)：817-823,7.DOI:10.12289/j.issn.1008-0392.23182
幽门成形术在微创Mckeown食管癌切除术中的应用疗效分析
Efficacy of minimally invasive Mckeown esophagectomy with pyloroplasty
摘要
Abstract
Objective To analyze the short-term postoperative efficacy of minimally invasive Mckeown esophagectomy with pyloroplasty.Methods The clinical data of 127 patients who received minimally invasive Mckeown esophagectomy plus pyloroplasty in our hospital from April 2021 to November 2022(study group),and 135 patients who received esophagectomy only during the same period(control group)were retrospectively analyzed and the clinical efficacy was compared between the two groups.Results The incidence of postoperative anastomotic leakage in the study group was less than that in the control group(P＜0.05).Multivariate logistic regression analysis showed that diabetes mellitus,operation method,postoperative hypoproteinemia and pulmonary infections were risk factors of postoperative anastomotic leak.The number of gastroesophageal reflux and delayed gastric emptying in the study group was lower than that in the control group(P＜0.05).The postoperative nutritional status,the postoperative physical function,social function,emotional function and overall health quality in the study group were significantly better than those in the control group(all P＜0.05).Conclusion Minimally invasive Mckeown esophagectomy combined with pyloroplasty can reduce postoperative anastomotic leakage,postoperative delayed gastric emptying and gastroesophageal reflux,improve postoperative nutritional status,and enhance long-term quality of life of patients.关键词
微创Mckeown食管癌切除术/幽门成形术/胃食管反流/胃排空障碍/吻合口瘘Key words
mininally Mckeown invasive esophageatomy/pyloroplasty/gastroesophageal reflux/delayed gastric emptying/anastomotic leakage分类
医药卫生引用本文复制引用
孙云浩,黄利荣,应开军,王尧,季明明,卞文,陈岑,陈津津..幽门成形术在微创Mckeown食管癌切除术中的应用疗效分析[J].同济大学学报（医学版）,2023,44(6):817-823,7.基金项目
江苏省盐城市医学科技发展计划项目(YK2020015) （YK2020015）
江苏省卫生健康委科研项目(Z2022062) （Z2022062）
吴阶平医学基金会临床科研专项资助基金(3206750.2022-10-12) （3206750.2022-10-12）
