首页|胸腹腔镜微创手术联合食管-胃三层包埋吻合在食管癌快速康复中的应用

胸腹腔镜微创手术联合食管-胃三层包埋吻合在食管癌快速康复中的应用

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目的:探究胸腹腔镜微创手术联合食管-胃三层包埋吻合在食管癌快速康复中的应用效果。方法:选取2019年2 月—2021 年 2 月在扬中市人民医院接受治疗的 68 例食管癌患者作为研究对象,按随机数表法将患者分为对照组和观察组,各 34 例。对照组采用胸腔镜食管癌根治术联合管型吻合器行端侧吻合加间断缝合包埋,观察组采用胸腹腔镜微创手术联合食管-胃三层包埋吻合。比较两组手术总时间、胸腹部操作时间、颈部操作时间、术后首次下床时间、术后首次排气时间、术后首次排便时间、术后住院时间及术后并发症发生情况。结果:观察组手术总时间、胸腹部操作时间、颈部操作时间、术后首次下床时间、术后首次排气时间、术后首次排便时间、术后住院时间短于对照组,术后吻合口瘘、肺部感染、心律失常、胃排空延迟、术后鼻咽不适感发生率低于对照组,差异有统计学意义(P<0。05)。结论:胸腹腔镜微创手术联合食管-胃三层包埋吻合在食管癌快速康复中的应用效果较好,手术用时少,术后恢复快,并发症少,利于患者的术后康复。
Application of Minimally Invasive Thoracic Laparoscopic Surgery Combined with Esophagogastric Triple Embedding Anastomosis in Rapid Recovery of Esophageal Cancer
Objective:To explore the application effect of minimally invasive thoracic laparoscopic surgery combined with esophagogastric triple embedding anastomosis in rapid recovery of esophageal cancer.Method:Sixty-eight patients with esophageal cancer who treated in Yangzhong People's Hospital from February 2019 to February 2021 were selected as the study objects,and the patients were divided into the control group and the observation group according to random number table method,34 cases in each group.The control group was treated with thoracoscopic radical resection of esophageal cancer combined with tube stapler for end-to-side anastomosis and intermittent suture embedding.The observation group was given minimally invasive thoracic laparoscopic surgery combined with esophagogastric triple embedding anastomosis.The total operation time,thoracic and abdominal operation time,neck operation time,first time of getting out of bed after operation,first time of exhaust after operation,first time of defecation after operation,hospitalization time after operation and postoperative complications were compared between two groups.Result:The total operation time,thoracic and abdominal operation time,neck operation time,first time of getting out of bed after operation,first time of exhaust after operation,first time of defecation after operation,hospitalization time after operation of the observation group were shorter than those of the control group,the incidence of postoperative anastomotic leakage,pulmonary infection,arrhythmia,delayed gastric emptying,and postoperative nasopharyngeal discomfort were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Minimally invasive thoracic laparoscopic surgery combined with esophagogastric triple embedding anastomosis in rapid recovery of esophageal cancer has better application effect,it has less operation time and get rapid recovery after operation,less complications,which is conducive to the postoperative rehabilitation of patients.

Esophageal cancerMinimally invasive thoracic laparoscopic surgeryEsophagogastric triple embedding anastomosisRapid recoveryComplications

王建平、马祯凯、薛恒川、朱宗海、高杰、赵蒙蒙、张健

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扬中市人民医院 江苏 扬中 212200

食管癌 胸腹腔镜微创手术 食管-胃三层包埋吻合 快速康复 并发症

镇江市重点研发计划项目

SH2021069

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(5)
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