胸腹腔镜食管癌根治术中不同吻合方式的对比研究

张斌; 齐琦; 晁栋; 李庆新

doi:10.11659/jjssx.11E022056

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胸腹腔镜食管癌根治术中不同吻合方式的对比研究

临床研究 | 更新时间：2023-04-24

- 胸腹腔镜食管癌根治术中不同吻合方式的对比研究
- Comparative study of different anastomosis methods in thoracic laparoscopic radical resection of esophageal carcinoma
- 局解手术学杂志 2023年32卷第4期页码：327-330
- 作者机构：
  
  中国人民解放军联勤保障部队第九四〇医院心胸外科，甘肃兰州 730050
- 作者简介：
  
  李庆新，E-mail：liqxchest@163.com
- 基金信息：
- DOI：10.11659/jjssx.11E022056
  中图分类号： R735.1
- 纸质出版日期：2023-04-25，
  
  收稿日期：2022-11-11，
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张斌,齐琦,晁栋等.胸腹腔镜食管癌根治术中不同吻合方式的对比研究[J].局解手术学杂志,2023,32(04):327-330.

ZHANG Bin,QI Qi,CHAO Dong,et al.Comparative study of different anastomosis methods in thoracic laparoscopic radical resection of esophageal carcinoma[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(04):327-330.
张斌,齐琦,晁栋等.胸腹腔镜食管癌根治术中不同吻合方式的对比研究[J].局解手术学杂志,2023,32(04):327-330. DOI： 10.11659/jjssx.11E022056.

ZHANG Bin,QI Qi,CHAO Dong,et al.Comparative study of different anastomosis methods in thoracic laparoscopic radical resection of esophageal carcinoma[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(04):327-330. DOI： 10.11659/jjssx.11E022056.

摘要

目的

对比不同吻合方式在食管癌微创治疗中的疗效。

方法

选择我院行微创食管癌根治术（MIE）的患者115例，依照吻合方式将患者分为端端吻合组（

=68）与端侧吻合组（

=47）。端端吻合组行端端分层吻合，端侧吻合组行端侧分层吻合。观察2组手术时间、吻合时间、术中出血量及术后住院时间等围术期指标。比较2组术后3个月并发症发生情况及生活质量。

结果

端端吻合组吻合时间、术后住院时间均短于端侧吻合组（

0.05）；2组手术时间、术中出血量比较差异无统计学意义（

0.05）。术后3个月，端端吻合组吻合口瘘、胃食管反流及吻合口狭窄的发生率均低于端侧吻合组（

0.05），2组肺部并发症发生率比较差异无统计学意义（

0.05）；端端吻合组生活质量各维度评分均高于端侧吻合组（

0.05）。

结论

与端侧分层吻合相比，端端分层吻合应用于MIE，可有效减少患者手术创伤，降低术后并发症发生率，促进患者康复，提高其生活质量。

Abstract

Objective

To compare the efficacy of different anastomosis methods in mini-invasive surgical treatment of esophageal carcinoma.

Methods

A total of 115 patients underwent minimally invasive esophagectomy （MIE） in our hospital were selected and divided into the end-to-end anastomosis group （

=68） and the end-to-side anastomosis group （

=47） according to the anastomosis methods.Patients in the end-to-end anastomosis group underwent end-to-end layered anastomosis，patients in the end-to-side anastomosis group underwent end-to-side layered anastomosis. Perioperative indicators such as operation time， anastomosis time， intraoperative blood loss and postoperative hospital stay of patients in the two groups were observed. The incidence of complications and the quality of life 3 months after operation in both groups were compared.

Results

The anastomosis time， postoperative hospital stay of the end-to-end anastomosis group were shorter than those of the end-to-side anastomosis group（

0.05）；there was no significant difference in the operation time and intraoperative blood loss between the two groups

（P

0.05）. The incidences of anastomotic leakage， gastroesophageal reflux and anastomotic stenosis in the end-to-end anastomosis group was lower than that in the end-to-side anastomosis group （

0.05）， and there was no significant difference in the incidence of pulmonary complications between the two groups （

0.05）；the scores of all dimensions of the quality of life in the end-to-end anastomosis group were higher than those in the end-to-side anastomosis group 3 months after operation （

0.05）.

Conclusion

Compared with end-to-side layered anastomosis， the application of end-to-end layered anastomosis in MIE can effectively reduce the surgical trauma and the incidence of postoperative complications，promote the rehabilitation of patients and improve their quality of life.

关键词

端端分层吻合端侧分层吻合食管癌并发症生活质量

Keywords

end-to-end layered anastomosisend-to-side layered anastomosisesophageal carcinomacomplicationsquality of life

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