手辅助电视胸腔镜食管癌切除术三年临床疗效分析

Clinical therapeutic effect of esophageal carcinoma with hand video assisted surgery

目的探讨手辅助电视胸腔镜行食管癌切除术的3年疗效。方法对40例术前判断T3N1M0期以下食管癌患者行手辅助电视胸腔镜食管癌切除术(HVATS 组),同期施行常规开胸手术40例(对照组)。分组随访计算出各自3年生存率,应用 SPSS10.0计算机软件包建立数据库,进行Cox 回归生存分析。结果研究组手术切除效果满意,术后生活质量高。HVATS 组3年生存率为52.7%,常规手术组为51.3%,两者差异没有统计学意义(P>0.05)。结论手辅助电视胸腔镜食管癌切除术能够达到常规开胸手术相同的切除效果,且具有手术时间短、创伤小、恢复快等优点。其更长期生存情况有待进一步观察。

Objective To explore the clinical therapeutic effect of esophageal carcinoma with hand video assisted surgery. Methods Forty cases which C TNM stage was T3N1M0 received hand video assisted surgery （HVATS group） ,40 cases received routine operation（ control group）. Recurrence survival analysis of each group was analyzed with SPSS10.0 software according to the date of the stage and survival rate. Results All group have satisfied surgical result. All patients have good quality of life. The 3 year survival rate was 52.7% in HVATS group and 51.3% in control group. The difference of survival rate was no significance. Conclusion Hand video assisted surgery for esophageal carcinoma had same result as routine thoracic operation. Short operation time, less trauma and fast recovery are the advantages of hand video assisted surgery.