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| Curative Effect of Thin-tube Transgastric Esophagus on Prevention of Esophagogastric Anastomotic Leakage and its Effect on Short-term Quality of Life after Operation |
| KUANG Bijing, HU Yang, YU Na, et al |
| West China Hospital of Sichuan University, Sichuan Chengdu 610000, China |
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Abstract Objective: To investigate the curative effect of thin-tube transgastric esophagus on prevention of esophagogastric anastomotic leakage and its effect on short-term survival quality. Methods: 120 patients undergoing esophageal cancer resection in the hospital from December 2016 to February 2018 were divided into the thin tubular stomach group (n=60) and the thick tubular stomach group (n=60) by simple randomization method. The thin tubular stomach was made after esophageal cancer resection in the thin tubular gastric group. The thick tubular stomach was made after esophageal cancer resection in the thick tubular gastric group. the general conditions and postoperative complications of the two groups were compared, and the European Cancer Research and Treatment Organization (EORTC), the QLQ-C30 scale for cancer patients and the QLQ-OES18 scale for esophageal cancer were used to establish a quality of life assessment form to investigate the quality of life of patients 6 months after surgery. Results: There were no significant differences in operation time, intraoperative blood loss, postoperative drainage, and postoperative hospital stay between the two groups (P>0.05). The incidence of anastomotic leakage and reflux esophagitis in the thin tubular group was significantly lower than that in the thick tubular group (P<0.05), the incidence of anastomotic stenosis, pulmonary infection, arrhythmia, and chest and stomach syndrome had no statistically significant difference (P>0.05). At 6 months after surgery, the functional dimension scores in Quality of life scale of the thin tubular stomach group were significantly higher than those of the thick tubular stomach group (P<0.05), while the symptomatic dimension scores were significantly lower than those of the thick tubular stomach group (P<0.05). Conclusion: Thin-tube transgastric esophagectomy can effectively reduce the occurrence of postoperative anastomotic leakage and improve the short-term quality of life.
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2019, Vol. 25 
