左胸微创小切口治疗胸中下段食管癌的临床效果分析

Lower Esophageal Chest Clinical Effect of Minimally Invasive Treatment of Chest

目的分析左胸微创小切口治疗胸中下段食管癌的临床效果。方法资料整群选取该院2013年1月—2016年1月收治的104例胸中下段食管癌患者予以回顾性分析,设计手术方案时将行常规左胸外侧切口治疗的设为对照组(46例),将行左胸微创小切口治疗的设为研究组(58例),对比两组手术情况及并发症情况。结果研究组术中出血量、住院时间均显著低于对照组,且淋巴结清扫数比对照组高,比较差异有统计学意义(P<0.05);研究组术后并发症总发生率13.04%显著低于对照组29.31%,差异具有统计学意义(P<0.05)。结论左胸微创小切口治疗胸中下段食管癌具创伤小、恢复快等优势,且有效减少并发症的发生。

Objective Analysis chest minimally invasive treatment of chest clinical effects of lower esophageal cancer.Methods Group selection information in our hospital in January 2013- to be retrospective analysis of January 2016 were treated 104 cases of middle and lower esophageal cancer, the line outside of conventional chest incision treatment to the control group（46 cases） the design of surgical options, will line chest minimally invasive treatment to the study group（58cases）, compared two groups of surgical cases and complications. Results Study group blood loss, length of hospital stay was significantly lower than the control group, and the number of lymph node dissection than the control group, the difference was statistically significant（P〈0.05）; the study group overall incidence of postoperative complications was significantly13.04% 29.31% lower than the control group, the difference was statistically significant（P〈0.05）. Conclusion： Chest minimally invasive treatment of middle and lower esophageal cancer with less trauma, quicker recovery, and other advantages,and effectively reduce the incidence of complications.