Modified Gastric Tube versus Gastric Tube in Surgery for Mid-and Lower-thoracic Esophageal Cancer: A Comparative Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 LUWen-min , GUOZhan-ling , LIShu-qing , ZHANGMeng , WANGJue , JINYi

Department of Thoracic Surgery, The Harrison International Peace Hospital of Hengshui Hebei Province, Hengshui 053000, P. R. China;

Corresponding author：

LUWen-min, Email: hsluwenmin@163.com

Keywords：

Mid- and lower-thoracic esophageal cancer; Modified gastric tube; Respiratory function

DOI：

10.7507/1007-4848.20150213

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the application value of modified gastric tube in surgery for mid- and lowerthoracic esophageal cancer compared with gastric tube. Methods A total of 221 patients with mid- and lower-thoracic esophageal cancer who underwent esophagectomy between October 2009 and June 2013 in our hospital were recruited in the study. They were randomly divided into a modified gastric tube group (n=108) and a gastric tube group (n=113). There were 67 males and 41 females at age of 63.50±6.75 years (ranged 47-73 years) in the modified gastric tube group, including 62 cases of middle esophageal cancer and 46 cases of lower esophageal cancer. There were 69 males and 44 females at age of 63.38±7.21 years (ranged 49 to 76 years) in the gastric tube group, including 68 cases of middle esophageal cancer and 45 cases of lower esophageal cancer. The results of surgery and morbidities were recorded. The respiratory functions were recorded at 3 days before surgery, 1 week and 4 weeks after surgery, respectively. Results All surgeries were successfully performed in two groups. There was 1 case of death and 1 case of anastomotic leakage in the gastric tube group. There was no death or anastomotic leakage occurred in the modified gastric tube group. There was statistical difference in the operation time between the modified gastric tube group and the gastric tube group (150.65±11.88 min vs. 174.58±11.99 min, P<0.05). There were no statistical differences in the amount of bleeding during operation or the length of hospital stay between two groups (P>0.05). There were no statistical differences in respiratory function between two groups at 1 week or 4 weeks after surgery (P>0.05). Conclusion For patients with mid- and lower-thoracic esophageal cancer, modified gastric tube has a good clinical application value compared with gastric tube. It is easy and safe, and can decrease the operation time without aggravation of pulmonary function after operation. It is a better esophagus reconstruction method in esophagectomy for mid- and lower-thoracic esophageal cancer in primary hospitals.

Citation： LUWen-min, GUOZhan-ling, LIShu-qing, ZHANGMeng, WANGJue, JINYi. Modified Gastric Tube versus Gastric Tube in Surgery for Mid-and Lower-thoracic Esophageal Cancer: A Comparative Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(9): 855-858. doi: 10.7507/1007-4848.20150213 Copy

1.	孙玉鄂, 主编. 胸外科手术学. 第2版. 人民军医出版社, 2004. 402.
2.	Kocabas A, Kara K, Ozgur G, et al. Value of preoperative spirometry to predict postoperative pulmonary complications. Respir Med, 1996, 90(1):25-33.
3.	廖泽飞, 马良赟, 林勇龙, 等. 管状胃代食管与传统食管癌手术后肺部并发症的对比研究. 临床肺科杂志, 2013, 18(2):201-202.
4.	李辉. 管状胃技术在食管重建中的应用. 中国胸心血管外科临床杂志, 2010, 17(2):89-91.
5.	Avendano CE, Flume PA, Silvestri GA, et al. Pulmonary complications after esophageetomy. Ann Thorac Surg, 2002, 73(3):922-926.
6.	Grotenhuis BA, Wijnhoven BP, Grune F, et al. Preoperative risk assessment and prevention of complications in patients with esophageal cancer. J Surg oncol, 2010, 101(3):270-278.
7.	Ikeguchi M, Maeta M, Kaibara N. Respiratory function after esophagectomy for patients with esophageal cancer. Hepatogastroenterology, 2002, 49(47):1284-1286.
8.	武新慧, 张玉想, 胡振杰, 等. 食管癌术后严重并发症临床分析及对策. 河北医科大学学报, 2008, 29(5):668-671.
9.	陈万生, 刘艳慧, 南茹, 等. 食管癌术后的呼吸功能. 中华胸心血管外科杂志, 2007, 23(5):317-319.
10.	李林峻, 吴庆琛, 张诚, 等. 食管癌切除不同消化道重建方式术后患者生命质量的对比分析. 中华医学杂志, 2013, 93(35):2790-2793.
11.	曾玉山, 黎萍. 管状胃代食管在胸上中段食管癌治疗中的应用.广州医学院学报, 2011, 39(6):35-37.
12.	伍传新, 陈树群, 林昱, 等. 管状胃经食管床弓上吻合术对食管癌术后肺功能的影响. 中华胃肠外科杂志, 2010, 13(6):450-451.
13.	杨光煜, 何苡, 胡为才, 等. 53例食管癌贲门癌术后吻合口瘘及相关并发症的处理. 中华胸心血管外科杂志, 2014, 30(1):11-13.
14.	Ong GB, Lam KH, Wong J, et al. Factors influencing morbidity and mortality in esophageal carcinoma. Thorac Cardiovasc Surg, 1978, 76(6):745-754.
15.	马良赟, 廖泽飞, 王耿杰. 食管癌术后肺部并发症危险因素的多因素Logistic回归分析. 中国危重急救医学, 2011, 23(10):625-628.
16.	艾波, 付向宁, 严华, 等. 不同术式上段食管癌切除术对肺功能的影响. 中国胸心血管外科临床杂志, 2011, 18(5):413-416.

1. 孙玉鄂, 主编. 胸外科手术学. 第2版. 人民军医出版社, 2004. 402.
2. Kocabas A, Kara K, Ozgur G, et al. Value of preoperative spirometry to predict postoperative pulmonary complications. Respir Med, 1996, 90(1):25-33.
3. 廖泽飞, 马良赟, 林勇龙, 等. 管状胃代食管与传统食管癌手术后肺部并发症的对比研究. 临床肺科杂志, 2013, 18(2):201-202.
4. 李辉. 管状胃技术在食管重建中的应用. 中国胸心血管外科临床杂志, 2010, 17(2):89-91.
5. Avendano CE, Flume PA, Silvestri GA, et al. Pulmonary complications after esophageetomy. Ann Thorac Surg, 2002, 73(3):922-926.
6. Grotenhuis BA, Wijnhoven BP, Grune F, et al. Preoperative risk assessment and prevention of complications in patients with esophageal cancer. J Surg oncol, 2010, 101(3):270-278.
7. Ikeguchi M, Maeta M, Kaibara N. Respiratory function after esophagectomy for patients with esophageal cancer. Hepatogastroenterology, 2002, 49(47):1284-1286.
8. 武新慧, 张玉想, 胡振杰, 等. 食管癌术后严重并发症临床分析及对策. 河北医科大学学报, 2008, 29(5):668-671.
9. 陈万生, 刘艳慧, 南茹, 等. 食管癌术后的呼吸功能. 中华胸心血管外科杂志, 2007, 23(5):317-319.
10. 李林峻, 吴庆琛, 张诚, 等. 食管癌切除不同消化道重建方式术后患者生命质量的对比分析. 中华医学杂志, 2013, 93(35):2790-2793.
11. 曾玉山, 黎萍. 管状胃代食管在胸上中段食管癌治疗中的应用.广州医学院学报, 2011, 39(6):35-37.
12. 伍传新, 陈树群, 林昱, 等. 管状胃经食管床弓上吻合术对食管癌术后肺功能的影响. 中华胃肠外科杂志, 2010, 13(6):450-451.
13. 杨光煜, 何苡, 胡为才, 等. 53例食管癌贲门癌术后吻合口瘘及相关并发症的处理. 中华胸心血管外科杂志, 2014, 30(1):11-13.
14. Ong GB, Lam KH, Wong J, et al. Factors influencing morbidity and mortality in esophageal carcinoma. Thorac Cardiovasc Surg, 1978, 76(6):745-754.
15. 马良赟, 廖泽飞, 王耿杰. 食管癌术后肺部并发症危险因素的多因素Logistic回归分析. 中国危重急救医学, 2011, 23(10):625-628.
16. 艾波, 付向宁, 严华, 等. 不同术式上段食管癌切除术对肺功能的影响. 中国胸心血管外科临床杂志, 2011, 18(5):413-416.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Modified Gastric Tube versus Gastric Tube in Surgery for Mid-and Lower-thoracic Esophageal Cancer: A Comparative Study

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content