胸腹腔镜联合手术在食管癌治疗中的应用效果探讨

To Explore the Application Effect of Chest Laparoscopic Combined Operation in the Treatment of Esophageal Cancer

目的:探究胸腹腔镜联合手术在食管癌治疗中的临床效果。方法:选取本院2011年7月-2014年11月门诊及住院部30例食管癌患者作为研究对象,按照治疗方法的不同将其分为试验组和对照组,每组各15例患者。对照组采取传统开胸治疗,试验组采取胸腹腔镜联合手术治疗,比较两组患者的手术情况、术后并发症。结果:两组患者均成功完成手术,手术情况比较,试验组均明显优于对照组,差异有统计学意义(P<0.01);两组患者术后总并发症率比较,试验组明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论:采用胸腹腔镜联合手术治疗食管癌具有良好的效果,其术中出血量少、住院时间短、术后引流量少、淋巴结清扫比较彻底,且术后并发症少,安全性高,值得临床应用以及推广。

Objective：To explore the clinical effect of chest laparoscopic combined operation in the treatment of esophageal cancer.Method：30 cases of esophageal cancer patients were selected as research subjects from July 2011 to November 2014,according to the different methods of treatment,were divided into experimental and control groups,15 cases in each group.The control group was taken traditional thoracotomy,the experimental group was taken the chest laparoscopic combined operation,the surgery situation and postoperative complications of two groups were observed.Result：All patients were successfully completed surgery,compared to the situation in the experimental group were significantly better than the control group,the difference was statistically significant（P〈0.01）; overall complication rate after two groups of patients, the experimental group was significantly lower than the control group,the difference was statistically significant（P〈0.05）. Conclusion：Chest laparoscopic combined operation in the treatment of esophageal cancer has a good effect,the less blood loss, shorter hospital stay,less postoperative drainage,lymph node dissection,more thorough,and fewer complications,higher safe,it is worth clinical application and promotion.