微创腔镜与传统手术治疗食管癌的远期临床疗效比较分析

Comparative Analysis of Long-term Clinical Efficacy of Minimally Invasive Endoscopic and Traditional Surgery in the Treatment of Esophageal Cancer

目的探析微创腔镜与传统手术治疗食管癌的远期临床疗效。方法选取我院2012年1月～2014年1月收诊的早期食管癌患者116例,将其分为两组,每组各58例,观察组行微创腔镜治疗,对照组行传统开胸治疗,比较两组远期效果及术后并发症。结果观察组患者手术情况优于对照组,差异具有统计学意义,P<0.05;观察组并发症发生率6.89%与对照组比较,差异具有统计学意义,P<0.05;观察组术后1例复发,无死亡病例;对照组术后4例复发或转移,其中2例死亡。结论胸腹腔镜联合治疗TNM分期Ⅲ期以下食管癌,疗效显著,创伤小,术后恢复快。

Objective To explore the Long-term clinical efficacy of traditional surgery and minimally invasive endoscopic in the treatment of esophageal cancer.Methods From January 2012 to January 2014, 116 cases of esophageal cancer patients in our hospital were divided into two groups, 58 cases in each group, observation group underwent minimally invasive endoscopic treatment, control group underwent conventional open treatment, to compare long-term effects and complications of two groups. ResultsThe condition of operation of observation group was better than that of control group, the difference was statistically signiifcant （P〈0.05）, the complication rate of observation group was 6.89%. Compared with the control group, the difference was statistically significant （P〈0.05）. Postoperative recidivation of 1 case of observation group and no death, 4 cases of postoperative recidivation or metastasis, including two deaths. ConclusionThe combination with Chest laparoscopy and minimally invasive endoscopic in the treatment of TNM stageIII esophageal or less which has a significant effect makes the patient less invasive and faster recovery.