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目的分析食管癌外科管状胃不同路径术后并发症发生情况,为食管癌手术路径的选取提供参考。方法 74例行胸腹腔镜食管癌切除术及胃颈部吻合术的食管癌患者,依据术中上提路径的不同分为对照组(36例)和观察组(38例)。对照组上提路径为食管床,观察组上提路径为胸骨后,比较两组术后并发症发生情况。结果两组患者住院时间比较,差异无统计学意义(P>0.05),观察组胃管留置时间、胃液引流总量均明显少于对照组,差异有统计学意义(P<0.05),观察组胸腔感染及肺部感染发生率明显低于对照组,差异有统计学意义(P<0.05)。结论胸腹腔镜食管癌切除术及胃颈部吻合术中管状胃采取胸骨后上提路径时,可减少术后并发症发生风险,缩短患者胃管留置时间,值得临床推广。
Objective To analyze the postoperative complications of different pathways of surgical tube of esophageal cancer, and to provide reference for the selection of surgical path of esophageal cancer. Methods Totally 74 patients with esophageal cancer undergoing thoracic and laparoscopic esophagectomy and gastric anastomosis were divided into control group (36 cases) and observation group (38 cases). In the control group, the path of esophageal ascending was esophageal bed, the path of escalation in the observation group was the sternum, and the postoperative complication occurred in both groups. Results There was no significant difference in hospitalization time between the two groups (P> 0.05). The gastric tube indwelling time and gastric fluid drainage volume in the observation group were significantly less than those in the control group, the difference was statistically significant (P <0.05) Thoracic infection and pulmonary infection was significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic laparoscopic esophageal resection and gastric anastomosis in the stomach to take retrosternal stenosis pathways can reduce the risk of postoperative complications and shorten the time of gastric tube indwelling, worthy of clinical promotion.