胸腔镜食管癌切除术对患者术后胃肠功能恢复及并发症发生率的影响

Effect of Thoracoscopic Esophageal Resection on Postoperative Gastrointestinal Function Recovery and Complication Rate in Patients with Esophageal Cancer

目的探讨胸腔镜食管癌切除术对食管癌患者术后胃肠功能恢复及并发症发生率的影响。方法选取我院73例食管癌患者,依据手术术式不同分组,对照组36例给予开胸手术治疗,观察组37例给予胸腔镜食管癌切除术治疗,对比两组胸部失血量、淋巴结清扫个数、胸腔引流量及肠鸣音恢复、术后进食、肛门排便时间,并统计两组并发症发生情况。结果比较两组淋巴结清扫数目,无明显差异(P>0.05),两组胸部失血量及胸腔引流量比较,观察组小于对照组,差异具有统计学意义(P<0.05);观察组术后进食、肠鸣音恢复及排便时间均小于对照组,差异显著(P<0.05);两组并发症发生率比较,观察组为5.41%(2/37),低于对照组25.00%(9/36),差异具有统计学意义(P<0.05)。结论给予食管癌患者胸腔镜食管癌切除术治疗,效果显著,可降低并发症发生率,促进胃肠功能恢复。

Objective To investigate the effects of thoracoscopic esophageal resection on the recovery of gastrointestinal function and the incidence of complications in patients with esophageal cancer.Methods A total of 73 patients with esophageal cancer in our hospital were enrolled in this study.Thirty-six patients undergoing thoracoscopic esophageal cancer resection were treated with thoracoscopic esophagectomy.Thirty-six patients in the control group received thoracoscopic esophageal cancer resection.Number of chest drainage and bowel sounds recovery,postoperative eating,anal defecation time,and statistics of two groups of complications.Results There was no significant difference between the two groups in the number of lymph node dissection（P〉0.05）.The blood loss in the thoracic and thoracic drainage in the two groups were significantly lower than those in the control group（P〈0.05）,Bowel sounds recovery and defecation time were less than the control group,the difference was significant（P〈0.05）;the incidence of complications between the two groups was 5.41%（2/37）,lower than the control group 25.00%（9/36）,The difference was statistically significant（P〈0.05）.Conclusion Esophageal cancer patients undergoing esophagectomy for thoracoscopic surgery,the effect is significant,can reduce the incidence of complications and promote gastrointestinal function recovery.