胸腔镜辅助下食管癌根治术联合胸内吻合术对食管癌患者术中出血量及术后并发症发生率的影响

The Effect of Thoracoscopic Assisted Radical Resection of Esophageal Carcinoma Combined with Intrathoracic Anastomosis on the Amount of Bleeding and Postoperative Complications in Patients with Esophageal Cancer

目的探讨胸腔镜辅助下食管癌根治术联合胸内吻合术对食管癌患者术中出血量及术后并发症发生率的影响。方法选取2014年3月至2016年6月我院治疗食管癌76例患者,随机数字表法分为两组,各38例。对照组采用传统食管癌根治术治疗,观察组采用胸腔镜辅助下食管癌根治术+胸内吻合术治疗。统计对比两组手术情况[手术用时、术中出血量、淋巴结清扫数目、术后1d视觉数字疼痛模拟评分法(VAS)评分]及并发症发生率。结果两组淋巴结清扫数目相比,差异无统计学意义(P>0.05);观察组手术用时、术中出血量、术后1d VAS评分均少于对照组,差异有统计学意义(P<0.05);观察组并发症发生率10.53%(4/38)较对照组31.58%(12/38)低,差异有统计学意义(P<0.05)。结论采用胸腔镜辅助下食管癌根治术联合胸内吻合术治疗食管癌患者,可减少手术用时及术中出血量,并降低术后疼痛程度,并发症发生率较低,安全性较高。

Objective To investigate the effect of thoracoscopic assisted radical resection of esophageal carcinoma combined with intrathoracic anastomosis on the amount of bleeding and postoperative complications in patients with esophageal carcinoma.Methods76cases of esophageal cancer in our hospital from March2014to June-2016were randomly divided into two groups,38cases each.The control group received traditional radical resection of esophageal cancer,and the observation group received tho原racoscopic assisted radical resection of esophageal cancer combined with intrathoracic anastomosis.The operation of the two groups(operation time,intraoperative blood loss,number of lymph node dissection,postoperative1D visual digital pain score(VAS)score)and complication rate were statistically compared.Results There was no significant difference in the number of lymph node dissection between the two groups(P>0.05);The operation time,intraoperative blood loss and postoperative1D and VAS scores of the observation group were less than those of the control group,and the difference was statistically significant(P<0.05);The compli原cation rate of the observation group was10.53%(4/38),which was lower than that of the control group31.58%(12/38),and the difference was statistically significant(P<0.05).Conclusion Thoracoscopic assisted radical resection of esophageal carcinoma com原bined with intrathoracic anastomosis can reduce the amount of bleeding during operation and operation time.It can reduce the degree of postoperative pain.The complication rate is low,and the safety is higher.