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[目的]对胸腹腔镜食管癌切除术胸胃采用不同上提路径术患者进行术后效果对比分析,探讨不同患者的不同情况合理选择胸胃上提路径。[方法]患者分为胸骨后路径组和食管床路径组两组进行不同食管癌胸胃上提路径的术后效果分析比较。[结果]经χ2检验,胸骨后路径组术后患者肺部并发症和胃液量均明显少于食管床路径组,但吻合口瘘的发生率却明显高于食管床路径组(P﹤0.05),差异有统计学意义,两组间手术出血量、手术时间、切除淋巴结的数量、术后住院时间差异无统计学差异(P﹥0.05)。[结论]根据不同患者的不同情况合理选择胸胃上提路径,可有效提高胸腹腔镜食管癌手术治疗成功率。
[Objective] To compare and analyze the postoperative effects of thoracoscopic laparoscopic esophageal cancer resection thoracotomy patients with different pathways to explore the different conditions of different patients to choose the appropriate thoracic gastric path. [Methods] The patients were divided into two groups: the retrosternal stenosis group and the esophageal bed path group. The postoperative effects of esophagectomy for esophagectomy were compared. [Results] The postoperative complications of lung space and the amount of gastric juice were significantly less than those of the esophageal bed pathways after χ2 test. However, the incidence of anastomotic fistula was significantly higher than that of the esophageal bed pathological group (P <0.05) , The difference was statistically significant. There was no significant difference between the two groups in the amount of operation bleeding, the operation time, the number of resected lymph nodes and the postoperative hospital stay (P> 0.05). [Conclusion] According to the different conditions of different patients, the reasonable choice of the path of thoracic gastric esophagus can effectively improve the success rate of thoracoscopic laparoscopic esophageal cancer surgery.