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目的:探讨管状胃在食管癌手术中的应用价值。方法:随机选择100例食管癌手术患者,其中管状胃组50例,行管状胃代食管吻合术;全胃组50例,采用传统全胃代食管吻合术。结果:术后管状胃组发生吻合口瘘1例,经保守治愈;全胃组发生吻合口瘘1例,经保守治疗未愈死亡。两组手术并发症比较差异无统计学意义,但术后生活质量管状胃组较全胃组有明显好转。结论:食管癌手术中应用管状胃更符合重建术后的解剖生理,术后远期生活质量明显提高。
Objective: To explore the value of tubular stomach in esophageal cancer surgery. Methods: A total of 100 cases of esophageal cancer surgery were randomly selected, including 50 cases of tubular stomach group and tubular anastomosis of stomach on behalf of the stomach. Fifty cases of the whole stomach group were treated with traditional whole stomach esophageal anastomosis. Results: One case of anastomotic fistula occurred in the tubular stomach group after operation, and was cured by conservative treatment. One case of anastomotic fistula occurred in the whole stomach group and died after conservative treatment. There was no significant difference between the two groups in the complication of surgery, but the postoperative quality of life of tubular stomach group than the whole stomach group was significantly improved. Conclusion: The application of tubular stomach in esophageal cancer surgery is more consistent with the anatomy and physiology after reconstructive surgery, postoperative long-term quality of life improved significantly.