食管管状胃侧侧吻合术在食管癌手术手术中的临床意义

目的：探讨食管管状胃侧侧吻合术在食管癌手术中的应用价值。方法：以2014年3月～2015年6月在我院手术的食管癌患者为观察对象。根据其手术方法，分为传统手术组（40例）和管状胃侧侧吻合术组（40例）。观察两组患者围手术期一般情况，比较两组患者手术前后肺功能、生活质量和并发症发生率的差异。结果：两组患者手术时间、出血量和住院时间无明显差别；两组患者手术前6MWT、FVC和FEV1等肺功能指标无明显差别，手术后，两组患者上述指标均较手术前升高，且管状胃组高于传统手术组；手术前两组患者生活质量得分无明显差别，手术后，两组患者生活质量均较手术前增高，且管状胃组增高更明显；管状胃组吻合口瘘和胃排空障碍发生率明显低于传统手术组，两组患者术后吻合口狭窄和胸胃瘘发生率无明显差别。结论：食管管状胃侧侧吻合术在食管癌手术中有较好的应用效果，可明显降低术后并发症的发生率，提高患者的生活质量。

Clinical significance of esophageal tubular gastric side anastomosis in the treatment of esophageal cancer

Objective To explore the value of the application of the lateral anastomosis of esophagus and stomach in the op-eration of esophageal cancer. Methods Patients with esophageal cancer who operated in our hospital from March 2014 to June 2015 were observed. According to the operation method, patients were divided into the traditional operation group(40 cases)and the lateral side of the tubular stomach(40 cases). The perioperative period of the two groups were observed, lung function, quality of life and complications of the two groups also compared before and after the operation. Results The operation time, blood loss and length of stay between the two groups had no significant difference;There were no significant differences in lung function indexes between the two groups before operation, such as 6MWT, FVC and FEV1. After surgery, the indexes of the two groups were higher than before operation, and the tubular gastric group was higher than the traditional operation group;There was no significant difference in quality of life between the two groups before and after treatment, the quality of life of the two groups was higher than that before operation, and the increase of the tubular gastric group was more obvious;The incidence of anastomotic leakage and gastric emptying in the tubular gastric group was significantly lower than that in the traditional operation group, and there was no significant difference in the incidence of anastomotic stenosis and thoracic gastric fistula between the two groups . Conclusion The application of esophageal tubular gastric side anastomosis in esophageal cancer surgery has a good effect, can significantly reduce the incidence of postoperative complications, improve the quality of life of patients.