胸腹腔镜联合Ivor Lewis食管癌根治术的临床观察

Observation Clinical of Laparoscopic Combined With Ivor Lewis Radical Surgery for Esophageal Crcinoma

目的观察胸腹腔镜联合Ivor Lewis食管癌根治术的临床效果。方法选取食管癌患者76例,将其随机分为观察组(胸腹腔镜联合Ivor Lewis根治术)与对照组(传统Ivor Lewis根治术),比较两组治疗效果。结果两组患者手术时间、术中出血量及淋巴结清扫数目等方面比较,P>0.05,差异不具有统计学意义。观察组术后下床活动时间、肛门排气时间均少于对照组,并发症发生率少于对照组,P<0.05,差异具有统计学意义。结论胸腹腔镜联合Ivor Lewis根治术的临床效果显著。

Objective To observe the clinical effect on combined thoracic laparoscopic Ivor Lewis resection of esophageal cancer. Methods Selected 76 cases with esophageal cancer were randomly divided into two groups （chest laparoscopic radical surgery combined with Ivor Lewis） and the control group （traditional Ivor Lewis resection） were compared treatment effects. Results Compared with the amount of bleeding and the number of lymph node, two groups of patients with operation time, intraoperative, P〉0.05, had no difference statistical significance. The observation group postoperative ambulation time, anal exhaust time were less than the control group, the complication rate was lower than the control group, P〈0.05, had difference statistically signiifcance. Conclusion The clinical results of laparoscopic chest joint Ivor Lewis resection signiifcantly.