在分全食道切除术后延迟胃管排空的病例,同时进行肺切除
Satoshi Fujiwara1, Masakazu Goto1, Seiya Inoue1
1Department of Thoracic, Endocrine Surgery and Oncology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
The journal of medical investigation : JMI
|April 23, 2025
概括
延迟胃管排空 (DGCE) 发生在食道和肺癌的联合手术后. 这种由胃管位移和炎症引起的并发症,通过保守的治疗来解决.
科学领域:
- 胃肠病学 胃肠病学
- 胸部外科手术 胸部外科手术
- 在瘤学瘤学.
背景情况:
- 食道癌的治疗往往涉及复杂的外科手术程序.
- 在食道手术期间同时切除肺结节,带来了独特的挑战.
- 延迟胃管排空 (DGCE) 是一个潜在的术后并发症.
研究的目的:
- 在结合食道和肺癌手术后报告DGCE病例.
- 在这种特定的临床场景中调查DGCE的原因和治疗方法.
主要方法:
- 一名67岁的患有晚期食道癌和疑似肺癌的男性患者接受了新辅助化疗.
- 随后,该患者同时接受了S10细分切除术和亚总食道切除术,并进行了胃管重建.
- 术后诊断的DGCE使用胃谱放射,CT和上胃肠内镜进行.
主要成果:
- 在术后8天确定了DGCE,这归因于胃管位移到肺切除后的右胸腔.
- 胃管中的炎症变化导致了观察到的静止.
- 随着保守治疗,患者的病情有所改善,导致在术后68日出院.
结论:
- 结合胸腔和食道手术可以导致DGCE由于解剖学变化和炎症.
- 在某些情况下,DGCE可以有效地进行保守的管理.
- 这一案例凸显了复杂瘤切除后管道并发症的警术后监测的重要性.
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