胸腹腔镜食管癌根治术与传统开放手术疗效的对比研究

Comparative study of curative effect between thoracoscopiclaparoscopic radical esophagectomy for esophagus cancer y and traditional open surgery

目的探析胸腹腔镜食管癌根治术与传统开放手术疗效的对比研究。方法本研究选择2014年3月~2017年2月在本院就诊的食管癌患者82例,随机数字表法分为研究组(n=42)和对照组(n=40),研究组进行胸腹腔镜食管癌根治术,对照组进行传统开放手术,比较两组的术中出血量、淋巴结清扫个数、第一日引流量、胸管留置时间、手术时间、下床活动时间、住院时间等临床指标。比较术后两组发生心律失常、肺部感染、吻合口瘘、胃排空障碍等并发症情况。结果研究组的术中出血量、淋巴结清扫个数、第一日引流量、胸管留置时间、下床活动时间、住院时间、手术时间等临床指标显著低于对照组,差异有统计学意义(P<0.05)。研究组术后发生心律失常、肺部感染、吻合口瘘、胃排空障碍等并发症情况显著低于对照组,差异有统计学意义(P<0.05)。结论食管癌进行胸腹腔镜食管癌根治术疗法,手术疗效好,术后并发症少,值得临床推广。

Objective To compare the curative effect between thoracoscopic-laparoscopic radical esophagectomy for esophagus cancer y and traditional open surgery. Methods Eighty-two patients with esophagus cancer who treated in our hospital from March 2014 to February 2017 were selected as the subjects,and all them were randomly divided into study group（42 cases） and control group（40 cases）.The patients of study group received the thoracoscopiclaparoscopic radical esophagectomy,the patients of control group received the traditional open surgery.The clinical index of intraoperative bleeding volume,number of dissected lymph nodes,drainage volume in the first day,indwelling time of thoracic duct, time of operation time,out of bed activity time and time of hospitalization were compared.And the incidence rate of arrhythmia,pulmonary infection, anastomotic fistula and delayed gastric emptying were compared. Results The clinical index of intraoperative bleeding volume,number of dissected lymph nodes,drainage volume in the first day,indwelling time of thoracic duct,out of bed activity time,time of hospitalization and time of operation time of study group were significantly lower than those of control group（P〈0.05）.The incidence rate of arrhythmia,pulmonary infection, anastomotic fistula and delayed gastric emptying of study group were significantly lower than those of control group（P〈0.05）. Conclusion The thoracoscopic-laparoscopic radical esophagectomy can improve the clinical effect and reduce the incidence rate of postoperative complications.And it is worthy of clinical promotion.