胸腔镜下食管癌根治术与开胸手术疗效比较

Comparison of Curative Effect of Thoracoscopic Radical Operation for Esophageal Cancer and Thoracic Surgery

目的探讨胸腔镜下食管癌根治术的临床有效性与安全性。方法回顾性分析2013年5月—2016年5月该院收治的行电视胸腔镜食管癌根治术(胸腔镜组31例)和常规三切口开放食管癌根治术(开放组22例)的食管癌患者的临床资料。比较两组基本手术指标、并发症发生率情况。结果胸腔镜组术中出血量(119.6±28.4)m L、胸管留置时间(6.2±0.9)d、术后住院时间(19.8±1.5)d,并发症发生率19.4%,各项指标均优于对照组(P<0.05)。结论胸腔镜下食管癌根治术临床疗效良好,安全性优于食管癌完全开放三切口术,有助于患者早期恢复,值得临床推广使用。

Objective To study the clinical effectiveness and safety of thoracoscopic radical operation. Methods 53 cases of patients admitted and treated in our hospital from May 2013 to May 2016 were selected and divided into two groups, the thoracoscopic group with 31 cases were treated with video-assisted thoracoscopic radical operation for esophageal cancer,while the open group with 22 cases were treated with routine triple incision open radical operation for esophageal cancer,and the operative index and incidence rate of complications were compared between the two groups. Results The intraoperative bleeding amount, indwelling time of chest tube, length of stay after operation and incidence rate of complications in the thoracoscopic group were respectively（119.6±28.4）m L,（6.2±0.9）d,（19.8 ±1.5）d and 19.4%, which were better than those in the control group（P〈0.05）. Conclusion The clinical curative effect of thoracoscopic radical operation for esophageal cancer is good, and the safety is better than that of esophagectomy with triple incision approach, which contributes to the early rehabilitation of patient, and it is worth clinical promotion and application.