透过介质肠道食道切除术对于食道癌的术后呼吸功能的实用性
Shutaro Sumiyoshi1, Atsushi Shiozaki1, Hitoshi Fujiwara2
1Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
过介质肠道食道切除术 (TME) 导致呼吸功能的严重下降,相比 transthoracic 食道切除术 (TTE). 这一发现对于接受食道癌手术的患者至关重要.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺功能测试试验 肺功能测试
- 在瘤学瘤学.
背景情况:
- 消化管癌 (EC) 的消化管切除术通常会由于外科手术的侵入性而损害呼吸功能 (RF).
- 穿越胸腔食道切除术 (TTE) 和穿越腹腔食道切除术 (TME) 是常见的手术方法.
研究的目的:
- 为了比较TME与TTE对EC患者术后肺功能的影响.
主要方法:
- 对102名经过TTE或TME的EC患者进行了回顾性分析.
- 在术后三个月内,使用生命能力 (VC) 和1秒强迫呼气体积 (FEV1.0) 评估肺功能.
主要成果:
- 与TTE组 (12名患者) 相比,TME组 (90名患者) 的估计血液损失明显低.
- 这两种手术都导致手术后的VC和%VC减少.
- 与TME相比,在TTE后,VC,%VC和FEV1.0的下降显著更大.
结论:
- 过介质肠道食道切除术 (TME) 与呼吸功能的术后恶化程度相比,与胸肠道食道切除术 (TTE) 相比较低.
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