| Chao Sun,Weiping Shi,Yusheng Shu,Hongcan Shi,Shichun Lu,Kang Wang. Diaphragmatic suture with tubular stomach to prevent early delayed gastric emptying after esophagectomy. Oncol Transl Med, 2015, 1: 280-283. |
| 管状胃和膈肌缝合在预防食管癌切除术后胃排空障碍中的应用 |
| Diaphragmatic suture with tubular stomach to prevent early delayed gastric emptying after esophagectomy |
| Received:April 04, 2015 Revised:November 17, 2015 |
| DOI：10.1007/s10330-015-0086-8 |
| 中文关键词: 食管肿瘤；食管手术，胃排空障碍；并发症 |
| 英文关键词: esophageal cancer; esophagectomy; delayed gastric emptying (DGE); tubular stomach; complications |
| 基金项目: |
| Author Name | Affiliation | E-mail | | Chao Sun | Northern Jiangsu People’s Hospital, Yangzhou, China | simon1028@sina.com | | Weiping Shi* | Northern Jiangsu People’s Hospital, Yangzhou, China | 4073210@qq.com | | Yusheng Shu | Northern Jiangsu People’s Hospital, Yangzhou, China | shuyusheng65@163.com | | Hongcan Shi | Northern Jiangsu People’s Hospital, Yangzhou, China | shihongcan@hotmail.com | | Shichun Lu | Northern Jiangsu People’s Hospital, Yangzhou, China | lushichun168@163.com | | Kang Wang | Northern Jiangsu People’s Hospital, Yangzhou, China | esowangkang@sina.com |
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| 中文摘要: |
| 目的 探讨管状胃和膈肌缝合固定在预防经“颈、胸、腹”三切口食管癌切除术后胃排空障碍中的应用，总结经验。方法 回顾性分析我科从2009年6月到2013年7月980例经“颈、胸、腹”三切口手术治疗食管癌患者，均行管状胃代食管手术，其中A组未作特殊处理，共530例，男387例，女143例，年龄58.2±11.5岁，其中食管上段癌63例，食管中段癌382例，食管下段癌85例；B组将胃缝合固定于膈肌，共450例，男328例，女122例，年龄58.5±12.8岁，其中食管上段癌43例，食管中段癌343例，食管下段癌64例。比较两组患者术后胃排空障碍的发生情况。结果 全组患者均顺利完成手术。B组与A组相比较，其术后胃排空障碍的发生率显著减少（P<0.05）。结论 在经“颈、胸、腹”三切口治疗食管癌手术中，通过将管状胃与膈肌缝合固定可以降低经“颈、胸、腹”三切口食管癌切除术后胃排空障碍的发生率。 |
| 英文摘要: |
| Objective?The objective of this study was to evaluate the clinical efficacy of a diaphragmatic suture with tubular stomach to prevent delayed gastric emptying (DGE) after esophagectomy through the cervico-thoracoabdominal approach.
Methods?A total of 980 patients with esophageal cancer undergoing esophagectomy through the cervico-thoracoabdominal approach were retrospectively included in this study and divided into two groups. All patients underwent tubular stomach creation (group A; n = 530) or a diaphragmatic suture and tubular stomach creation (group B; n = 450). The incidence of early DGE was observed.
Results?The incidence of early DGE in group A was significantly higher than that in group B (P < 0.05).
Conclusion?This observation study suggests that the use of a diaphragmatic suture with tubular stomach through the cervico-thoracoabdominal approach can decrease the incidence of early DGE after esophagectomy.
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