• 710 •中国胸心血管外科临床杂志 2016年7月第23卷第7 期 Chin J Clin Thorac Cardiovasc Surg, July 2016, Vol. 23, No. 7论著 • 技术与方法术前口服橄榄油预防腔镜食管癌切除术后乳糜胸的疗效分析耿国军,于修义,郭崴,李宁,区帆,朱国勇,王剑翁,钟鸣,林俊峰,石思恩,宋儒,姜杰厦门大学附属第一医院 胸外科(厦门 361003)【摘要】  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。【关键词】  食管癌;胸腔镜;橄榄油;胸导管;乳糜胸Effect of Preoperative Oral Administration of Olive Oil to Prevent Chylothorax after Th oracoscopic Resection of Esophageal Carcinoma GENG Guo-jun, YU Xiu-yi, GUO Wei, LI Ning, QU Fan, ZHU Guo-yong, WANG Jian-weng, ZHONG Ming, LIN Jun-feng, SHI Si-en, SONG Rong, JIANG JieDepartment of Th orocic Surgery, Th e First Hospital Af f i liated to Xiamen University, Xiamen 361003, P.R.ChinaCorresponding author: JIANG Jie, Email: jiangjie06@126.com【Abstract】 Objective To study the effect of preoperative oral administration of olive oil in the patients with laparoscopic resection of esophageal carcinoma and to expose the advantages of alimentary duct in operation. MethodsWe retrospectively analyzed the clinical data of 136 patients in our hospital from June 2013 through June 2015 year. Therewere 83 males and 53 females at age of 58.3±7.6 years. The patients were given oral olive oil 100 ml at preoperative 12 hours.Results All patients completed surgery successfully without transfer to open chest. Operation of thoracic duct filling wastransparent, milky white, and with clear exposure. Thoracic duct was retained successfully in the 131 patients. It was found that intraoperative injury during separation of thoracic duct due to tumor invasion in 5 patients. These patients were treated with by titanium clipping. All the patients were with chest tube drainage for 3-5 d. Average drainage volume at postoperative 24 hours was 150±35 ml. Postoperative total drainage volume was 500±130 ml. None of postoperative chylothorax was found. Postoperative average hospitalization time was 9±2 d. Conclusion Esophageal cancer preoperative oral administration of olive oil is simple, safe, effective, no injury, and with clear exposure in thoracic duct in operation. Injury of the thoracic duct is reduced. The integrity of thoracic duct is preserved. Normal glucose and lipid metabolism is retained. Therefore, it is a good choice in preoperative preparation for esophageal cancer patients. It is worth popularization and application.【Key words】 Esophageal carcinoma; Thoracoscope; Olive oil; Alimentary duct; ChylothoraxDOI: 10.7507/1007-4848.20160170通讯作者:姜杰,Email: jiangjie06@126.com