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目的探讨经左胸后外侧切口治疗中下段食管癌术中全胃与管状胃重建消化道对肺功能的影响。方法回顾性分析经左胸后外侧切口治疗中下段食管癌患者124例,其中全胃代食管56例,管状胃代食管68例,分别于术前1天,术后1、3、7、15天、1个月、3个月分别进行肺功能检查。结果 124食管癌患者手术顺利,随访6个月内无死亡。术后15天、1个月、3个月管状胃重建消化道对肺功能的影响较全胃明显,差异具有统计学意义(P<0.05)。结论经左胸后外侧切口治疗中下段食管癌,管状胃重建消化道较传统全胃代食管重建消化道对肺功能影响小。
Objective To investigate the effect of total left stomach and lateral stomach incision in the treatment of middle and lower esophageal carcinoma on the lung function during operation. Methods A retrospective analysis of 124 cases of middle and lower esophageal cancer treated by lateral thoracotomy was performed. Among them, 56 cases of esophageal total esophagus, 68 cases of tubular esophageal esophageal esophagus, one case before operation, one day before operation, Day, 1 month, 3 months, respectively, pulmonary function tests. Results 124 patients with esophageal cancer surgery was successful, no death within 6 months of follow-up. The effects of tubular gastric reconstruction of the digestive tract on pulmonary function 15 days, 1 month and 3 months after operation were more significant than those in the whole stomach, with statistical significance (P <0.05). Conclusions The treatment of middle and lower esophageal cancer by left thoracotomy and lateral incision has less effect on the pulmonary function than traditional all-stomach esophageal reconstruction of the digestive tract.