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目的研究腔镜食管癌切除术前口服橄榄油,术中胸导管暴露的优势。方法回顾性分析2013年6月至2015年6月厦门大学附属第一医院胸外科136例腔镜食管癌切除术患者的临床资料,其中男83例、女53例,年龄(58.3±7.6)岁。所有患者术前12 h口服橄榄油100 ml,术后观察乳糜胸发生的情况。结果全组患者均成功实施手术,无中转开胸。术中胸导管充盈透明,呈乳白色,暴露清晰。131例患者成功保留胸导管,5例因肿瘤外侵分离胸导管时损伤,术中发现并用钛夹夹闭。所有患者术后留置胸腔引流管3~5 d,术后24 h平均引流量(150±35)ml,术后总引流量(500±130)ml,术后均未出现乳糜胸,术后平均住院时间(9±2)d。结论腔镜食管癌切除术患者术前口服橄榄油,简单、安全、有效、无损伤,术中胸导管暴露清晰,减少了胸导管的损伤,保存了胸导管的完整性,保留了正常的糖脂代谢,是食管癌术前准备中一个良好选择,值得推广应用。
Objective To study the advantages of oral olive oil before laparoscopic esophageal cancer resection and intraoperative thoracic catheter exposure. Methods The clinical data of 136 patients undergoing endoscopic esophagectomy for thoracic surgery at the First Affiliated Hospital of Xiamen University from June 2013 to June 2015 were retrospectively analyzed. There were 83 males and 53 females with a mean age of 58.3 ± 7.6 years . All patients were orally given 100 ml of olive oil 12 hours before operation, and the occurrence of chylothorax was observed after operation. Results All the patients were successfully operated on without thrombolysis. Intraoperative thoracic duct filling transparent, milky white, exposed clearly. Thirteen patients successfully retained the thoracic duct, 5 cases of tumor invasion due to tumor invasion and separation of thoracic duct injury, intraoperative discovery and folder with titanium clips. All patients underwent postoperative drainage of the thoracic duct for 3 to 5 days. The average drainage volume (150 ± 35) ml at 24 hours after operation and the total drainage volume (500 ± 130) ml after operation did not show chylothorax after operation. The average postoperative average Hospitalization time (9 ± 2) d. Conclusion Laparoscopic esophagectomy patients with oral olive oil before surgery, simple, safe, effective, non-injury, intraoperative thoracic catheter exposure clear, reducing the thoracic duct injury, saving the integrity of the thoracic duct, retaining the normal sugar Lipid metabolism, esophageal cancer is a good choice in preoperative preparation, it is worth to promote the application.