胸腔镜食管癌切除术与开胸手术疗效比较

目的：比较分析胸腔镜食管癌切除术与开胸手术临床治疗效果。方法方便选取2013年1月-2016年6月在该院接受治疗89例食管癌患者,根据不同的手术方式将其分为胸腔镜组(53例)和开胸组(36例),胸腔镜组采取胸腔镜手术治疗,开胸组采取开胸手术治疗。比较两组患者手术观察指标、并发症情况。结果胸腔镜组24 h引流量(137.1±10.5)mL、术中出血量(139.23±23.1)mL、手术时间(31.43±15.2)min、胃肠道功能恢复时间(4.21±1.23)d均明显优于开胸组,比较差异有统计学意义,P<0.05；胸腔镜组并发症发生率为5.7%,明显低于开胸组的22.2%两组差异有统计学意义,P<0.05。结论通过胸腔镜食管癌切除术,患者手术时间段、恢复快,且并发症低,值得临床推广。

The Effect Comparation between Thoracoscope Esophagus Cancer Resection and Open Clinical Therapeutic Thoracic Surgery

Objective To compare the analytical effect of thoracoscope esophagus cancer resection and open clinical thera-peutic thoracic surgery. Methods Convenient selection in January 2013 - June 2016 in our hospital treated 89 cases of patients with esophageal cancer, according to the different ways of operation will be divided into the thoracoscope group (53 cases) and open group (36 cases), thoracoscope group adopt thoracoscope surgery, thoracotomy group adopt open thoracic surgery. Compare two groups of patients with surgical outcome and complications. Results Thoracoscope group of 24 h of bleeding amount of (137.1±10.5)mL, (139.23±23.1)mL, operation time (31.43 ± 15.2) min, gastrointestinal function recovery time(4.21 ± 1.23) d group were significantly superior to open the chest, comparative differences(P< 0.05);Complication rate was 5.7%, the thoracoscope group was obviously less than 22.2% of the thoracotomy group differences between the two groups(P<0.05). Conclusion Through thoracoscope esophagus cancer resection, patients with operation time, rapid recovery, and low complications, worthy of clinical promotion.