左胸一切口与右胸腹正中双切口治疗食管癌的效果比较

Comparison of the effect of left thoracic incision and right thoracoabdominal midline double incision on esophageal cancer

目的:分析左胸一切口与右胸腹正中双切口治疗食管癌的效果。方法:将85例食管癌患者按照治疗方案不同分为对照组(n=45)和研究组(n=40)。对照组患者采用左胸一切口手术方式,研究组患者采用右胸腹正中双切口手术方式。观察并对比两组患者住院时间、淋巴结清除数量、手术时间及术后并发症发生率情况。结果:研究组患者住院时间、手术时间及淋巴结清除数量均大于对照组,差异有统计学意义(P<0.05);研究组患者术后并发症发生率(35.0%)高于对照组(15.5%),差异有统计学意义(P<0.05)。结论:食管癌手术中,左胸一切口具有相对操作简单、并发症少、手术及住院时间短等优点,右胸腹正中双切口更能彻底清除淋巴结,故食管癌手术方式的选择应由患者身体的具体状况及肿瘤的位置决定,以保证手术治疗效果。

Objective： To analyze the effect of left thoracic incision and right thoracoabdominal midline double incision on esophageal cancer. Methods： A total of 85 patients with esophageal cancer were divided into control group（ n = 45） and study group（ n = 40）by the different treatment plan. The patients in the control group were treated with left thoracic incision,and the patients in the study group were treated with the right thoracoabdominal midline double incision. The duration of hospitalization,the number of lymph node dissection,the operation time and the incidence of postoperative complications were observed and compared between the two groups. Results： The length of hospital stay,operation time and the number of lymph node clearance in the study group were more than those in the control group,the differences were statistically significant（ P〈0. 05）. The incidence of postoperative complications in the study group（ 35. 0%） was higher than that in the control group（ 15. 5%）,the difference was statistically significant（ P〈0. 05）. Conclusion： In the esophagus cancer surgery,left thoracic incision has features such as simpler operation,less complications,shorter operation and hospital stay,and the right thoracoabdominal midline double incision can completely remove lymph nodes. Therefore,the choice of surgical approach is determined by the specific status of patients with esophageal cancer and the location of the tumor.