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目的观察管状胃在食管癌根治术消化道重建中的应用效果。方法经病理检查确诊为食管鳞癌患者100例,随机均分为两组,均行食管癌根治术。观察组采用管状胃重建消化道,对照组采用常规的胃底食管残端吻合。记录两组患者的手术时间、术后住院时间和并发症。结果两组手术时间和术后住院时间相仿。观察组术中清扫淋巴结数及其阳性淋巴结数明显多于对照组(P<0.05)。观察组胃延迟排空、食物反流、胸胃综合征发生率均低于对照组(P<0.05)。结论管状胃用于食管癌根治术消化道重建效果好,并发症少。
Objective To observe the effect of tubular stomach in reconstruction of gastrointestinal tract in esophageal cancer radical surgery. Methods 100 cases of esophageal squamous cell carcinoma diagnosed by pathological examination were randomly divided into two groups, all underwent esophagectomy. Observation group using tubular stomach reconstruction of the digestive tract, the control group using conventional gastric esophageal stump anastomosis. The operation time, postoperative hospital stay and complications of the two groups were recorded. Results The operation time of the two groups was similar to the postoperative hospital stay. The number of lymph nodes and the number of positive lymph nodes in the observation group were significantly more than those in the control group (P <0.05). Delayed gastric emptying, food reflux, and thoraco-gastric syndrome in observation group were lower than those in control group (P <0.05). Conclusion Tubal stomach for esophageal cancer radical resection of digestive tract effect, less complications.