Liu Bo, Wang Wei, Liang Tao
Department of Thoracic Surgery, The First Affiliated Hospital of Anhui University of Chinese Medicine, No.117 Meishan Road, Hefei, 230031, Anhui, People's Republic of China.
J Cardiothorac Surg. 2019 Jul 30;14(1):146. doi: 10.1186/s13019-019-0967-y.
A clinical case-control study was conducted to analyze the short-term efficacy of modified gastric tube in surgery for middle (mid)- and lower- thoracic esophageal carcinoma compared with the conventional gastric tube and its effect on postoperative pulmonary function.
A total of 70 patients with mid- and lower-thoracic esophageal cancer who underwent esophagectomy between October 2012 and September 2018 in our hospital were recruited in the study. They were randomly divided into a modified gastric tube group (n = 35) and a conventional gastric tube group (n = 35). The operation time, intraoperative blood loss, number of intraoperative lymph node dissection, gastrointestinal decompression time and postoperative hospital stay were recorded. The operation results and complications were recorded, and the pulmonary function was recorded at 3 days before surgery and 6 weeks after surgery.
The operation time in the modified gastric tube group was significantly lower than that in the gastric tube group (P < 0.05). There were no anastomotic leakage or death occurred in the modified gastric tube group. There was 1 case of anastomotic leakage in the conventional gastric tube group. The pulmonary function in both groups was improved at 6 weeks after surgery, but there was no significant difference between both groups (P > 0.05).
Modified gastric tube has a good clinical application value compared with gastric tube for patients with mid- and lower-thoracic esophageal cancer. It is easy and safe, and can shorten the operation time without aggravation of pulmonary function after surgery.
开展一项临床病例对照研究，分析改良胃管用于胸段中下段食管癌手术的短期疗效，并与传统胃管进行比较，同时观察其对术后肺功能的影响。
选取2012年10月至2018年9月在我院接受食管癌切除术的70例胸段中下段食管癌患者纳入研究。将其随机分为改良胃管组（n = 35）和传统胃管组（n = 35）。记录手术时间、术中出血量、术中清扫淋巴结数目、胃肠减压时间及术后住院时间。记录手术结果及并发症情况，并于术前3天及术后6周记录肺功能。
改良胃管组手术时间显著低于胃管组（P < 0.05）。改良胃管组未发生吻合口漏及死亡病例。传统胃管组发生1例吻合口漏。两组术后6周肺功能均有所改善，但两组间差异无统计学意义（P > 0.05）。
与传统胃管相比，改良胃管在胸段中下段食管癌患者中具有良好的临床应用价值。操作简便、安全，可缩短手术时间，且术后肺功能无加重。
