微创与开放手术治疗73例食管癌患者临床观察

Comparative Study on Minimally Invasive Surgery and Open Surgery in the Treatment of 73 Patients with Esophageal Cancer

目的比较开放手术与微创手术对食管癌患者的临床疗效。方法 73例食管癌患者随机分为两组,其中对照组36例,治疗术式为开放手术;观察组37例,采用微创手术,比较两组临床疗效。结果两组淋巴结清扫数量比较差异无统计学意义(P>0.05);观察组手术耗时长于对照组,出血量、胸膜液引流量少于对照组,住院时间与胸管留置时间短于对照组,观察组并发症发生率13.5%低于对照组25.0%,差异均有统计学意义(P<0.05);两组病死率比较,差异无统计学意义(P>0.05)。结论开放手术与胸腹腔镜微创手术治疗食管癌效果相当,但后者安全性更高,预后更好。

To compare the clinical efficacy of open surgery and minimally invasive surgery in the treatment of esophageal cancer patients. MethodsThe study was conducted in 73 patients with esophageal cancer. The double blind method was randomly divided into two groups. The control group （n=36） was treated with open surgery. The observation group （n=37） using minimally invasive surgery, the clinical efficacy was compared in the two groups.Results There was no significant difference in the number of lymph node dissection between the two groups （P〉0.05）. The operation time of the observation group was longer than that of the control group （P〈0.05）. The bleeding volume and pleural fluid drainage were significantly lower than those in the control group （P〈0.05）. The incidence of complications in the observation group was 13.5%, which was significantly lower than that in the control group 25.0% （P〈0.05）. There was no significant difference between the two groups（P〉0.05）. Conclusion Compared with open surgery, thoracoscopic minimally invasive surgery for esophageal cancer is quite effective, but the prognosis of the latter is more safe and better.