左胸微创切口在老年食管癌患者手术治疗中的临床观察

Clinical observation of left chest incision minimally invasive surgery on elderly patients with esophageal cancer

目的：探讨对患有食管癌的老年患者进行左胸微创切口手术的效果。方法选取2012年12月至2013年12月周口市中心医院收治的100例老年食管癌患者为研究对象，分为实验组和对照组。实验组患者实施左胸微创切口手术，对照组实施传统切口手术，比较两组患者术后情况。结果实验组9例患者术后出现并发症，而对照组24例患者出现并发症。实验组完成手术所需要的时间、术后患者的住院时间均少于对照组，且术中出血量、患者的疼痛情况均优于对照组，两组比较差异有统计学意义（P﹤0.05）。结论对患有食管癌的老年患者进行左胸微创切口手术的效果优于传统切口手术效果，且在完成手术所需要的时间、术后患者住院时间、术中出血量、患者的疼痛情况上均优于传统切口手术。

objective To investigate the effect of left chest incision minimally invasive surgery on elderly patients With esophageal cancer. Methods From December 2012 to December 2013,100 elderly patients With esophageal cancer Were randomly divided into experiment group and control group,With 50 cases in each group. The patients in experiment group Were given left chest incision minimally invasive surgery,While the patients in control group Were given the traditional incision,the surgery effects Were compared. Results Nine patients in the experiment group had complications after sur-gery,While 24 patients in the control group had complications. The time needed to complete the surgery,the hospital stay of experiment group Were shorter than those of control group,and the amount of bleeding during surgery,patients With pain Were better than those of control group, the differences betWeen the tWo groups Were significant （ P ﹤ 0. 05 ）. Conclusions left chest incision minimally invasive surgery is more effective than the traditional incision surgery on elderly patients With esophageal cancer,and is better than traditional incision surgery in the time needed to complete the surgery, the patient’s hospital stay,blood loss during surgery and pain.