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目的探讨管状胃成形术在食管癌根治术中的临床意义。方法对37例食管癌切除用管状胃成形术重建上消化道的食道癌患者资料进行回顾性分析,并重点探讨该术式在并发症防治及腹腔淋巴结清扫方面的优势。结果本组无死亡,术后均顺利康复出院。随访无吻合口瘘、吻合口狭窄及胸胃瘘发生,无胸胃综合征及明显返流性食管炎等并发症发生。结论用管状胃成形术重建上消化道治疗食管癌,可有效解决食管癌术后胸胃综合征、返流性食管炎、吻合口瘘、吻合口狭窄及胸胃瘘等并发症的发生,有利于腹腔淋巴结的清扫,改善患者生活质量,具有较好的临床应用价值。
Objective To investigate the clinical significance of tubular gastroplasty in radical resection of esophageal cancer. Methods A retrospective analysis was performed on the data of 37 patients with esophageal cancer who underwent resection of upper esophagus with tubular gastroplasty. The focus of the study was to evaluate the advantages of the technique in prevention and treatment of complications and peritoneal lymph node dissection. Results No death in this group, were recovered smoothly after surgery. Follow-up no anastomotic leakage, anastomotic stenosis and thoracic gastric fistula, non-thoracic stomach syndrome and significant complications such as reflux esophagitis. Conclusion Reconstruction of the upper gastrointestinal tract by tubular gastroplasty in the treatment of esophageal cancer can effectively solve the postoperative esophageal cancer thorax and stomach syndrome, reflux esophagitis, anastomotic fistula, anastomotic stenosis and thoracic gastroesophageal complications such as Which is conducive to the peritoneal lymph node dissection, improve the quality of life of patients with good clinical value.