胸腔镜腹腔镜联合食管癌切除术疗效分析

Analysis of Efficacy of Thoracoscopic and Laparoscopic Esophagectomy for Esophageal Carcinoma

目的对比分析胸腹腔镜联合食管癌切除术与三切口食管癌切除术的临床效果。方法整群选取2013年1月—2014年12月该院收治的食管癌患者128例,根据术式将患者分为常规三切口组(56例)和胸腹腔镜联合组(72例),常规三切口组患者给予常规三切口食管癌切除手术,胸腹腔镜联合组患者进行胸腔镜联合腹腔镜下食管癌切除术。结果常规三切口组患者手术时间,术中出血量,术后引流总量,疼痛评分高于胸腹腔镜联合组,且差异有统计学意义(P<0.05),住院费用胸腹腔镜联合组较高,且差异有统计学意义(P<0.05)。结论胸腹腔镜联合食管癌切除术效果优于传统三切口食管癌切除术,但费用较高。

Objective To compare the efficacy between thoracoscopic and laparoscopic esophagectomy and three-incision esophagectomy for esophageal carcinoma. Methods 128 patients with esophageal carcinoma admitted to our hospital between January 2013 and December 2014 were assigned, according to operation modes, to conventional three-incision group in which the 56 patients were given three-incision esophagectomy, and thoracoscopy and laparoscopy group in which thoracoscopic and laparoscopic esophagectomy was performed for the 72 patients. Results The operation duration, intraoperative blood loss, postoperative drainage volume and pain scores were longer or higher in the conventional three-incision group than in the thoracoscopy and laparoscopy group, and the difference were statistically significant(P<0.05); the hospitalization expenses in the thoracoscopy and laparoscopy group was higher than that in the conventional three-incision group, and the difference was statistically significant(P<0.05). Conclusion Compared with three-incision esophagectomy, thoracoscopic and laparoscopic esophagectomy for esophageal carcinoma can provide better efficacy but higher hospitalization expenses.