【摘要】 目的探讨管状胃代替食管在食管癌根治术中的应用。方法自2011年1月—2012年1月,90例食管癌患者接受食管切除术,其中管状胃组49例行管状胃代食管吻合术,对照组41例采用传统胃代食管。比较2组术后并发症发生率。结果 90例均获成功,无手术死亡,其中胸胃综合征、反流性食管炎并发症发生率明显减少(P<0.05)。结论管状胃代食管相比传统胃代食管手术重建消化道后更符合生理解剖的要求,改善术后生活质量,对患者术后生活质量影响小。更多还原

【Abstract】 Objective To investigate the tubular stomach used instead of the esophagus in esophageal cancer surgery.Methods From January 2011 to January 2012,90 patients with esophageal cancer received esophagectomy,including tubular stomach group(49 cases)a regular tubular stomach on behalf of the esophageal anastomosis,control group(41 cases)using traditional stomach substituting esophagus.The two groups were compared in incidence of postoperative complications.Results All the 90 cases were successful,without operative deaths.The incidence of complications including thoracic stomach syndrome,reflux esophagitis was significantly reduced(P<0.05).Conclusion The tubular stomach and esophagus compared to traditional stomach esophagus,after surgical reconstruction of the digestive tract,is more in line with the requirements of the anatomy and physiology to improve the postoperative quality of life of patients.更多还原