食管癌术中的器械吻合与手工分层吻合临床特点分析

目的:比较食管癌(EC)术中器械吻合(FLVA)和手工分层吻合(LHS)的临床特点。方法:将230例EC患者分为LHS组(118例)和FLVA组(112例),术中分别接受LHS和FLVA。结果:LHS组吻合口狭窄发生率低于FLVA组(χ2=3.960 2,P<0.05),FLVA组吻合口瘘发生率明显高于LHS组(P<0.05),术后死亡率,FLVA组高于LHS组。LHS组综合费用、手术材料费皆显著低于FLVA组(P<0.01),而两组术后住院费相接近(P>0.05),LHS组手术时间则长于FLVA组(P<0.05)。结论:EC手术中,采用LHS术后严重并发症及术后死亡率低于FLVA,且综合费用、手术材料费皆较低,因此,值得临床广泛推广和应用。

Clinical characteristics analysis of instrument and manual layered anastomosis in esophageal anastomosis

Objective To study the clinical characteristics of instrument and manual layered anastomosis in esophageal anastomosis.Method 230 EC patients were divided into LHS group （118 cases） and FLVA group （112 cases） ,intraoperative accepted LHS and FLVA respectively.Results LHS had lower incidence of anastomotic stenosis than FLVA group （chi-square χ^2= 3.9602,P = 3.960 2） ,and the incidence of anastomotic fistula FLVA group was obviously higher than that of LHS group （P = 0.007 5） ,postoperative mortality in FLVA group was higher than the LHS.In LHS group comprehensive cost,operation cost of raw materials were significantly lower than FLVA group （P 0.01） ,and postoperative hospitalization cost in two groups were similar （P〈0.05） ,and in LHS operation time was slightly longer than FLVA group （P〈0.05） .Conclusion EC in the operation,using LHS serious postoperative complications and postoperative mortality are lower than the FLVA,and with lower comprehensive cost,operation cost of raw materials.Therefore,it is worthy of clinical application and spread.