左胸微创切口手术治疗老年食管癌疗效观察

Clinical observation of chest incision minimally invasive surgery for elderly esophageal cancer

目的探讨左胸微创切口手术治疗老年食管癌患者的临床疗效。方法将122例老年食管癌患者随机分为两组，每组61例。研究组老年食管癌患者给予左胸微创切口手术治疗；对照组老年食管癌患者给予传统胸部后外侧切口入路手术治疗。比较两组患者手术时间、术中出血量、术后住院时间、随访生存情况、并发症发生情况。结果两组老年食管癌患者均顺利完成外科手术，随访6个月无死亡，生存率均为100．00％（P〉0．05）；研究组患者所需手术操作时间较对照组略长，但其术中出血量、术后住院时间均较对照组显著减少，研究组并发症发生率（9．84％）显著低于对照组（24．59％），差异有统计学意义（P〈0．05）。结论采用左胸微创切口手术治疗老年食管癌患者可显著减少其术中出血量、术后住院时间及并发症发生率，利于患者术后尽快恢复健康，保障其预后及生活质量。

Objective To investigate the clinical efficacy of chest incision minimally invasive surgery for esopha- geal cancer in elderly patients. Methods One hundred and twenty-two elderly patients with esophageal cancer were ran- domly divided into two groups with 61 cases in each group. The study group were given chest incision minimally invasive surgery; the control group were treated with the conventional thoracic esophageal lateral incision surgery. The operation time, blood loss, postoperative hospital stay, follow-up survival, complications were compared between the two groups. Re- suits Both groups were successfully completed surgery, no death over the six months of follow-up. The survival rates of the two groups were all 100.00% （P 〉 0.05 ）. The operation time of the study group were slightly longer than that of the control group, but the amount of bleeding, hospitalization time after operation in the operation were significantly lower than that in control group, and the complication rate（9. 84% ） of the study group was significantly lower than that of the control group（24. 59% ,P 〈 0.05 ）. Conclusions Chest incision surgery using minimally invasive esophageal cancer in elderly patients can significantly reduce blood loss, postoperative hospital stay and complication rate, which will help patients re- cover as quickly as possible to protect their prognosis and quality of life.