胸、腹腔镜联合手术与传统开放手术治疗食管癌的疗效比较研究

目的:对比胸、腹腔镜联合手术与传统手术治疗食管癌的临床效果,评价胸、腹腔镜联合手术的临床可行性。方法:选取2014年3月至2016年3月确诊的120例食管癌患者,随机分为观察组(n=60)与对照组(n=60),对照组患者行传统开放手术,观察组行胸、腹腔镜联合手术,对比分析两组患者术中、术后各项指标及并发症情况。结果:两组淋巴结清扫数量差异无统计学意义(P0.05),观察组手术时间、术中出血量、切口长度、住院时间、拔除胸管时间优于对照组(P0.05);术后胸腔引流量少于对照组(P0.05);观察组术后并发症发生率(6.67%)明显低于对照组(20.00%),差异有统计学意义(P0.05)。结论:与传统开胸开腹手术相比,胸、腹腔镜联合手术出血量少、切口小、术后患者康复快,且并发症少,推荐应用于食管癌的外科治疗。

Comparative effectiveness research of laparoscopic combined thoracoscopic surgery and conventional open surgery for esoph-ageal cancer

Objective:To compare the clinical effect of laparoscopic combined thoracoscopic surgery and conventional operation in the treatment of esophageal cancer and evaluate of the clinical feasibility of laparoscopic combined thoracoscopic surgery. Methods:The study selected 120 patients with esophageal cancer from Mar. 2014 to Mar. 2016,patients were randomly divided into observation group (n=60) and control group (n=60),respectively. Observation group underwent laparoscopic combined thoracoscopic surgical treatment,while control group used traditional open operation,then the various indexes during and after the operation,as well as the complications were compared between the two groups. Results:The number of lymph node removed during the surgery were basically the same without significant difference (P>0. 05). The operative time,intraoperative blood loss,incision length,hospital stay and extubation time of chest tube in observation group were better than those in control group (P<0. 05);the amount of chest drainage was significantly less than the control group (P<0. 05). Incidence of postoperative complications in the observation group (6. 67%) was obviously less than 20. 00% in the control group (P<0. 05). Conclusions:Compared with the traditional open surgery,the laparoscopic combined tho-racic surgery is obvious better with less blood loss,smaller incision,faster postoperative recovery,and fewer complications,this treatment can be recommended for surgery of esophageal cancer.