胸腹腔镜和开放手术对食管癌的安全性评估及远期疗效比较

目的 评估胸腔镜腹腔镜和开放手术治疗食管癌的安全性及远期疗效.方法 选取134例食管癌患者进行回顾性分析,其中49例使用胸腹腔镜联合食管癌切除根治术,其余85例采用传统的开放性手术.评估2组患者的手术指标、术后并发症以及远期疗效.结果 手术过程中开放组3例死亡,腔镜组未出现死亡.2组在术后住院时间及胸管留置时间上无明显差异;腔镜组手术中出血量明显少于开放手术组;2组术后并发症的发生率差异无统计学意义.腔镜组术后5年生存率明显高于开放手术组.结论 微创食管癌手术在手术出血、术后恢复以及远期疗效上有着很明显的优势.

Comparison of Safety Evaluation and Long-term Effect Icacy of Thoracoscopic and Open Operation Forin Esophageal Cancer

Objective To compare the safety evaluation and long-term effecticacy of thoracoscopic and open operation in for esophageal cancer .Methods Choosing 134 esophageal cancer patients were retrospectively analyzed ,there were 49 cases used received laparoscopic and thoracoscopic combined esophageal cancer radical surgery ,the remainingand 85 cases receivedwith traditional open operation .Two groups patients with Operation indicators ,postoperative complication and long-term curative effects of the 2 groups were evaluationed .Results In the operation process ,the open operation group were had 3 cases of deathd died , there were no death in laparoscopic group .The two groups had no significant difference in hospitalization time and postoperative chest tube indwelling time;The amount of bleeding in laparoscopic group was significantly less than that of the open surgery group;postoperative complications rates was no between the 2 groups had no significant difference between the two groups .Laparo-scopic Postoperative five 5-years survival rate in laparoscopic group was significantly higher than that of the open operation group . Conclusion Minimally invasive operation for esophageal cancer has obvious advantage in postoperative bleeding ,recovery and long-term curative effects .