胸腔镜腹腔镜联合食管癌手术与开放手术治疗对比研究

Comparison Research on the Effect of Laparoscopic Combined With Thoracoscope Surgery and Open Surgery in Treatment of Esophageal Carcinoma

目的研究胸腹腔镜联合手术与开放手术治疗食管癌的临床疗效与安全性。方法选取2012年1月至2015年12月期间,我院接受手术治疗的食道癌患者63例,30例胸腹腔镜联合手术为观察组,33例传统开放手术为对照组,对比两组的手术情况、术后康复情况与并发症。结果观察组的术中出血量、术后胸腹引流量、胸管拔除时间及住院时间明显低于对照组(P<0.05),但两组的手术时间及淋巴结清扫数对比差异无统计学意义(P>0.05);观察组术后并发症率为6.67%,显著低于对照组的27.27%(P<0.05);两组随访期间均未见复发转移病例。结论胸腹腔镜联合手术治疗食管癌可获得与传统开放手术相当的淋巴结清扫效果,但其创伤较开开放手术小、术后恢复快且并发症更少,具临床推广应用价值。

Objective To compare the effect of laparoscopic combined with thoracoscope surgery and open surgery in treat- ment of esophageal carcinoma.Methods 63 patients with esophageal cancer who underwent surgery in our hospital from January 2012 to December 2015 were collected,all grouped according to surgical procedures： 30 cases underwent laparoscopic combined with thoracoscope surgery as observation group, 33 cases underwent traditional open surgery ascontrol group,surgery,postoperative rehabilitation and complications of the two groups were compared.Results The blood loss, postoperative chest drainage, chest tube removal time and hospital stay in observation group was significantly lower than the control group （P〈0.05）,but the operation time and the number of lymph node dissection of two groups was no statistical difference contrast significance （P〉0.05）; postoperative complication in observation group was 6.67%, significantly lower than the 27.27% in the control group（P〈0.05 ）; both groups during the follow-up showed no recurrence cases.Conclusion Laparoscopic combined with thoraeoscope surgery for esophageal cancer can be obtained with conventional open surgery rather lymphadenectomy effect, but the trauma of open surgery compared to open smaller, faster postoperative recovery and fewer complications, more clinical application value.