胸腔镜下食管癌切除术的临床疗效分析

Analysis of Clinical Efficacy of Thoracoscopic Resection of Esophageal Carcinoma

目的:探讨电视辅助胸腔镜食管癌切除术与传统开胸食管癌切除术的手术效果及并发症情况。方法:315例胸段食管癌患者分为对照组(142例)和观察组(173例),对照组采用传统的颈胸腹三切口食管癌切除术,观察组采用电视胸腔镜辅助食管癌切除术,观察并记录两组病例的手术时间、术中出血量、淋巴结清扫数量、术后胸管引流量、术后住院时间及并发症情况。结果:观察组的术中出血量、术后胸腔引流量、住院时间明显少于对照组(P<0.05),两组手术时间、淋巴结清扫数量、术后并发症均无明显差别(P>0.05)。结论:电视辅助胸腔镜手术在食管癌的手术治疗方面具有出血少、术后恢复快的优势,而手术时间、淋巴结清扫、术后并发症等影响最终疗效的指标与传统手术相比亦无明显差别。

Objective： To investigate the effect and complications of video assisted thoracic surgery for esophageal cancer resection and traditional open chest esophageal cancer resection.Methods： 315 cases of thoracic esophageal carcinoma were divided into control group（n=142） and observation group（173 cases）,the control group using traditional cervical,thoracic and abdominal incision on the resection of esophageal carcinoma and the observation group using video-assisted thoracoscopic esophageal cancer resection,observed and recorded cases in the two groups in operative time,bleeding volume,lymph node dissection number,postoperative chest tube drainage,postoperative hospitalization time and complications.Results： In the observation group,the intraoperative bleeding volume,postoperative chest drainage,duration of hospitalization was significantly less than that of the control group（P〈0.05）,two groups of operation time,lymph node dissection quantity,postoperative complications were no significant difference（P〈0.05）.Conclusion： Video assisted thoracoscopic surgery in the treatment of esophageal cancer surgery is less bleeding,postoperative recovery has the advantages of fast,and operation time,lymph node dissection,postoperative complications affecting the final effect index and traditional surgery compared are also no significant difference.