摘要
目的:探讨近端胃癌根治术后双通道胃间置吻合手术安全性及患者术后生活质量。方法:回顾性分析我院在2015年12月~2018年12年期间收治的60例近端胃癌手术患者,根据手术方式分为观察组和对照组,每组30例。对照组患者接受食管与残胃单通道吻合术式,观察组患者接受双通道胃间置吻合消化道重建术式。治疗后,比较两组患者的手术时间,术中出血,术后恢复肛门排气时间以及术后并发症发生情况。同时,术后1年随访病人严重反流性食管炎发生率。结果:两组术中出血、术后恢复肛门排气排便时间、术后并发症发生率未见统计学差异。观察组患者的手术时间略长与对照组(P<0.05)。观察组术后1年反流性食管炎发生率明显低于对照组,(P=0.011)。结论:双通道胃间置吻合术式在预防手术后期反流性食管炎并发症方面占优势,值得推广。
Objective:To describe a novel technique for digestive tract reconstruction after proximal gastric cancer.Methods:Clinical data of 60 patients with proximal gastric cancer were retrospectively analyzed,30 patients underwent esophagogastrostomy reconstruction and other 30 underwent antrumpreserving double tract gastric interposition reconstruction.The surgical outcomes after operation were evaluated.At 12 months after operation,we performed endoscopy for evaluation of reflux esophagitis.Results:There were no significant differences in terms of operating time,postoperative exhaust time,the overall postoperative complication rate.At 12 months after surgery,the incidence of reflux esophagitis in the gastric interposition group were higher than in the esophagogastrostomy group(P=0.011).Conclusions:Double tract gastric interposition reconstruction is a novel reconstruction method with excellent postoperative outcomes in terms of preventing reflux esophagitis.
作者
岳超
彭锐
李刚
陈环球
YUE Chao;PENG Rui;LI Gang;CHEN Huan-qiu(Department of General surgery,Jiangsu Cancer Hospital&Jiangsu institute of Cancer Research&The Affiliated Cancer Hospital of Nanjing Medical University,Nanjing Jiangsu210009,China)
出处
《医学食疗与健康》
2019年第16期16-17,共2页
Medical Diet and Health
关键词
近端胃癌
双通道
胃间置
Double Tract
Gastric Interposition
Proximal Gastric Cancer
