胸、腹腔镜下食管癌根治术与传统开放手术的疗效比较分析

目的:探讨胸、腹腔镜下食管癌根治术的安全性与可行性。方法:2011年6月至2016年6月为80例患者行完全胸、腹腔镜下联合食管癌根治术,选择同期行传统食管癌开放手术的80例患者作为研究对象。比较两组手术相关指标及术后随访情况。结果:胸、腹腔镜联合组手术时间较开放组长,失血量、术后第1天胸腔引流量少于开放组,术后拔管时间、ICU观察时间、住院时间均短于开放组(P0.05)。两组术中淋巴结清扫数量、阳性淋巴结数量、术后并发症发生率、术后随访例数、随访时间、复发或转移、总生存率差异无统计学意义(P0.05)。结论:与传统开放食管癌根治术相比,胸、腹腔镜食管癌根治术能达到相似的疗效,可实现手术的根治性与微创效果。

Comparative analysis of thoracoscopic-laparoscopic esophageal cancer radical surgery and traditional open surgery

Objective:To investigate the safety and feasibility of thoracoscopic-laparoscopic esophageal cancer radical surgery (TLE).Methods:Eighty patients who underwent TLE from Jun.2011 to Jun.2016,and 80 patients who underwent open esophageal cancer radical surgery (OE) during the same period were selected.The operative indicators and the postoperative follow-up information were compared between the TLE group and the OE group.Results:The operation time of TLE group was longer than that of OE group,the amount of blood loss,the volume of thoracic drainage on the first day after operation was less than that of OE group,the time of extubation,ICU observation time and hospital stay were shorter than those of OE group (P<0.05).There were no significant differences in the number of lymph node dissection,the number of positive lymph nodes confirmed by postoperative pathology,the incidence of postoperative complications,the follow-up patients,follow-up time,recurrence,metastasis or total survival between the two groups (P>0.05).Conclusions:Thoracoscopic-laparoscopic surgery can achieve similar curative effect compared with traditional open surgery,achieve the radical and minimally invasive effect.