重建胃管热成像在预测食管癌手术后吻合口漏中的应用。
Utility of Thermography of Reconstructed Gastric Conduit for Predicting Postoperative Anastomotic Leakage After Esophagectomy for Esophageal Cancer.
机构信息
Department of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan;
Red Cross Maebashi Hospital, Maebashi, Japan.
出版信息
Anticancer Res. 2021 Jan;41(1):453-458. doi: 10.21873/anticanres.14795.
BACKGROUND AND AIM
Anastomotic leakage, the most common major complication after esophagectomy, is an important early postoperative complication that results in reoperation, delayed discharge, and psychological and financial distress. The current study focused on gastric conduit blood flow and investigated the relationship between gastric conduit temperature and anastomotic leakage.
PATIENTS AND METHODS
Between July 2015 and December 2017, a total of 51 patients aged 38 to 84 years who underwent esophagectomy followed by esophagogastric anastomosis with gastric conduit reconstruction were enrolled. Thermography was then used to measure the temperature of the intact stomach and gastric conduit before anastomosis.
RESULTS
The temperature of the planned site of gastric conduit anastomosis was significantly inversely correlated with anastomotic leakage, with the receiver operator characteristic curve showing a cutoff point of 27.6°C for predicting anastomotic leakage.
CONCLUSION
The temperature of the planned gastric tube anastomosis line should be kept at 27.6°C or higher to reduce anastomotic leakage.
背景与目的
吻合口漏是食管切除术后最常见的主要并发症，是导致再次手术、延迟出院以及心理和经济压力的重要术后早期并发症。本研究主要关注胃管血流，并探讨胃管温度与吻合口漏之间的关系。
患者与方法
2015 年 7 月至 2017 年 12 月，共纳入 51 例年龄 38 至 84 岁的患者，他们均接受了食管切除术，随后进行了胃管重建的食管胃吻合术。在吻合前，使用热成像技术测量完整胃和胃管的温度。
结果
吻合口计划部位的温度与吻合口漏呈显著负相关，接受者操作特征曲线显示，预测吻合口漏的截断点为 27.6°C。
结论
为降低吻合口漏的风险，计划的胃管吻合口线的温度应保持在 27.6°C 或更高。
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