胸腹腔镜联合食管癌根治术27例

Combined thoracoscopic and laparoscopic esophagectomy for esophageal cancer in 27 cases

目的探讨胸腹腔镜联合食管癌根治术在食管癌治疗中的安全性和有效性,分析其近期治疗效果。方法 2013年4月至2014年4月我院收治的27例胸腹腔镜联合食管癌根治术病例,回顾性分析其手术时间、清扫淋巴结数、术后并发症、术后住院天数、肿瘤复发情况等临床数据。结果 27位患者,平均年龄57.7岁,平均手术时间264.7min,其中胸部手术118.2min,颈腹手术146.5min,平均出血量161.1ml,6位患者需要输血,平均淋巴结清扫数21.6个,其中阳性率44.4%,术后并发症发生13例,术后平均住院11.1d,随访6-12个月,1例发生肝脏转移,无死亡病例。结论胸腹腔镜联合食管癌根治术安全性、有效性确切,近期疗效令人满意。

Objective To evaluate the safety and efficacy of combined thoracoscopic and laparoscopic esophagectomy in patients with esophageal cancer and analyze its short-term therapeutic effect. Methods From April 2013 to April 2014,27 patients with esophageal cancer had done combined thoracoscopic and laparoscopic esophagectomy in our hospital,the clinical data of operation time,number of lymph nodes dissection,postoperative complications,postoperative hospital stay,postoperative pain and tumor recurrence rate were analyzed retrospectively. Results 27 patients with an average age of 57.7 years,the average operation time was 264.7 minutes,in which 118.2 minutes of chest operation and 146.5 minutes of neck and abdomen operation. The average blood loss was 161.1ml,6 patients need Blood transfusion. The average lymph nodes dissection was 21.6,with a positive rate of 44.4%. 13 cases of postoperative complications were found in the perioperative period and the average postoperative hospital stay was 11.1 days. The patients were followed up for 6-12 months,found one case of liver metastasis and no death case. Conclusions The combined thoracoscopic and laparoscopic esophagectomy is safe and efficacious in the treatment of esophageal cancer.