不同方式中下段食管癌根治术特点及疗效的对比分析

目的比较不同方式食管癌手术的特点及对患者疗效的影响。方法回顾性分析近年来134例经左胸单切口术（Ⅰ组）、右胸＋上腹正中双切口术（Ⅱ组）及右胸、腹部和颈部三切口食管癌切除术（Ⅲ组）患者的临床资料。结果Ⅰ组手术时间及出血量均明显少于其他两组（P〈0.05）,Ⅲ组术后恢复时间最长（P〈0.05）,淋巴结清扫数目Ⅰ、Ⅱ、Ⅲ组依次递增明显（P〈0.05）,三组并发症发生率及术后生存率无统计学差异（P〉0.05）。结论食管癌根治术三种手术方式各具特点,临床工作中应根据患者及医院实际情况选择术式,以达到最佳治疗效果。

Comparison analysis of characteristics and efficacy of different surgical approaches for middle-lower esophageal carcinoma

Objective To compare the characteristics of different esophageal carcinoma surgical approaches and analysis for their therapeutic effect. Methods The patients who underwent left posterolateral thoracotomy incision（Ⅰ）,right posterolateral thoracotomy plus ventral midline incision（Ⅱ） and left cervical plus right posterolateral thoracic plus upper midline abdominal（Ⅲ） were retrospectively analyzed. Results The operation time of group I and blood loss were lower significantly than group Ⅱ and Ⅲ（P0.05）.The patients in group Ⅲ spent longest recovery time than other 2 groups（P0.05）.And from group Ⅰ to Ⅲ,the lymph node metastasis degree increased significantly（P0.05）.There were no significant differences in the comparison of perioperative mortality and complication incidence（P0.05）. Conclusion Different approaches of esophageal carcinoma surgery have their own advantages.In order to reach the best clinical effect,the surgical approaches should be selected based on the patients＇ physical status and the hospital condition.