局解手术学杂志2024，Vol.33Issue(12)：1093-1096,4.DOI:10.11659/jjssx.10E023073
圆锥形胃残端套叠包埋在食管癌根治术中抗反流的临床研究
Clinical study on anti-reflux of conical gastric stump embedding in radical resection of esophageal cancer
摘要
Abstract
Objective To study the anti-reflux effect of conical gastric stump embedding in radical resection of esophageal cancer.Methods A total of 60 patients who planned to undergo radical resection of esophageal cancer in our hospital from June 2020 to June 2022 were selected as the study objects,and the patients were divided into the observation group and the control group by random number table method,with 30 cases in each group.Patients in both groups underwent laparoscopic radical resection of esophageal cancer and esophagogastric end-to-side mechanical anastomosis.The observation group adopted the conical gastric stump embedding technique after esophagogastric end-to-side mechanical anastomosis.The perioperative related indexes,postoperative complications and gastroesophageal reflux of patients in the two groups were compared.The postoperative anti-reflux effect was evaluated by reflux disease questionnaire(RDQ)score and 24-hour intraesophageal pH monitoring.Results The operation time and digestive tract reconstruction time of patients in the observation group were longer than those in the control group(P<0.05),while there was no statistically significant difference in the amount of intraoperative bleeding,the number of lymph node dissection,the first exhaust time,or the postoperative hospital stay of patients between the two groups(P>0.05).There was no statistically significant difference in the overall incidence of postoperative complications between the two groups(P>0.05).The severity of postoperative gastroesophageal reflux of patients in the observation group was lighter than that in the control group,and the difference was statistically significant(P<0.05).The RDQ score,24-hour reflux frequency,>5 minutes reflux frequency,pH<4 time,and longest reflux time of patients in the observation group was significantly lower/less/shorter than those in the control group(P<0.05).Conclusion The conical gastric stump embedding technique is safe and feasible in the radical resection of esophageal cancer.Although the operation time and digestive tract reconstruction time are slightly prolonged,it does not increase the perioperative risks,which can significantly reduce the occurrence and severity of postoperative gastroesophageal reflux of patients,and achieve a good anti-reflux effect.关键词
食管癌/食管-胃端侧吻合/圆锥形胃残端套叠包埋技术/机械吻合Key words
esophageal cancer/esophagogastric end-to-side anastomosis/conical gastric stump embedding technique/mechanical anastomosis分类
医药卫生引用本文复制引用
刘胜凯,崔丽娜,李俊鹏,石俊杰,范艳玲..圆锥形胃残端套叠包埋在食管癌根治术中抗反流的临床研究[J].局解手术学杂志,2024,33(12):1093-1096,4.基金项目
邯郸市科学技术研究与发展计划项目(22422083072ZC) （22422083072ZC）
