全胸腔镜与常规三切口根治性食管癌术的近期疗效对比

Short-term efficacy of the conventional three-incision and thoracoscopic esophageal cancer radical surgery

目的：探讨全胸腔镜与常规三切口治疗食管癌的近期临床效果。方法选取山西省肿瘤医院外科2013年6月至2014年6月收治的60例食管癌患者作为研究对象，按照随机分组法将其分为对照组和观察组，对照组行颈、右胸后外侧和腹正中三切口食管癌切除术＋淋巴结清扫术，观察组行全胸腔镜下行食管癌切除术＋淋巴结清扫术，观察两组的近期临床效果。结果经过有效治疗后，观察组术中胸部出血量、术后胸水引流量和肺部感染率均明显低于对照组，差异有统计学意义（ P＜0.05）；两组手术时间、淋巴结平均清扫数比较差异未见统计学意义（ P＞0.05）。结论全胸腔镜在根治食管癌手术中近期临床效果明显，且具有创伤小、疼痛轻、术中失血量少和肺感染发生率低等优点，因此该方法值得在临床推广应用。

Objective To investigate the short-term clinical effect of full thoracoscopic treatment and conventional three incisions on esophageal cancer.Methods From June 2013 to June 2014 , Sixty cases of esophageal cancer were treated as study objects, according to the randomization method, they were divided into control group and observation group, carotid patients in the control group, outside of the right chest and ventral midline incision three esophageal resection＋lymph node dissection, patients in the observation group were given full thoracoscopic assisted small incision.The patients in observation group were given total thoracoscopic esophageal cancer resection＋lymph node dissection, and the recent clinical effects of the two different treatment methods were observed.Results After effective treatment, the chest bleeding, postoperative pleural drainage and lung infection rates in the observation group were significantly lower than those in the control group, and the differences were significant （ P〈0.05）;oper-ative time, the number of lymph node dissection had no significant difference（P〉0.05）.Conclusions The short-term effect of full thoracoscopic esophageal cancer radical surgery is obvious, and with lesstrauma, less pain, less blood loss and the incidence of lung infections and other advantages, so thismethod is worthy of clinical application.