全腔镜治疗食管癌临床分析

目的：探讨胸腔镜联合腹腔镜下食管癌切除临床应用价值。方法回顾性分析中国医科大学附属盛京医院胸外科收治的50例食管癌患者的临床资料。根据治疗方法不同,分为研究组(A组,n=25)和对照组(B组,n=25)。 A组采用全胸腔镜、腹腔镜下食管癌根治方案；B组采用传统开胸手术方案。对比两组患者手术时间、失血量、清扫淋巴结数、术后住院天数、围术期并发症发生例数等临床数据。结果与B组比较,A组手术时间缩短、术中出血较少、住院时间明显缩短、肺部感染率降低,差异均有统计学意义(P<0．05)；两组患者在清扫淋巴结数、再次开胸止血、吻合口瘘等并发症发生率方面,差异无统计学意义(P>0．05)。结论对食管癌患者给予全胸腔镜、腹腔镜下食管癌根治术,疗效确切,可有效缩短治疗疗程,对降低术后肺部感染风险,值得临床推广。

Clinical analysis of thoracoscopy and laparoscopy assisted tumorectomy for esophagus cancer

Objective To explore clinical value of thoracoscopy combined laparoscopic resection of esophageal cancer. Methods To-tally 50 cases with esophageal cancer in our hospital were retrospectively analyzed and were divided into research group( group A,n=25)and control group(group B,n=25);group A using thoracoscopy and laparoscopy assisted tumorectomy for esophagus cancer,group B using traditional open thoracic surgery. The operation time,intraoperative bleeding,the number of the lymph node removed,postoper-ative hospitalization length,perioperative complication cases such clinical data was compared. Results In group A,the operation time was shorter and intraoperative bleeding was less,the hospitalization time was obviously shorten,the lung infection rate was reduced, which were significantly different(P<0. 05). The removed number of lymph node,the incidence of once again open chest and stop bleeding,and complications such as anastomotic fistula between the two groups were not significantly different(P>0. 05). Conclusion Tho-racoscopy combined laparoscopic resection of esophageal cancer has a curative effect, which may effectively shorten the treatment course,reduce the risk of postoperative pulmonary infection,that is worthy of clinical promotion.