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目的探讨胸腔镜辅助小切口能否达到常规开胸食管癌根治术的要求,观察1年存活率和1年复发率及手术创伤程度。方法同期进行胸腔镜辅助小切口食管癌切除31例设为观察组,常规开胸食管癌切除34例设为对照组,比较二组围手术期情况、淋巴结清扫个数及1年生存率和复发率。结果二组在淋巴结清扫个数、阳性率、1年生存率和1年复发率方面比较差异均无统计学意义(P>0.05),而手术时间、术中失血量、术后引流量比较差异均有统计学意义(P<0.05)。结论胸腔镜辅助小切口在食管癌根治术中能达到常规开胸的治疗效果,且有胸部创伤小、术中失血量少、术后引流量少的优点。
Objective To investigate whether thoracoscopic assisted small incision can meet the requirements of conventional thoracotomy for esophageal cancer and to observe the one-year survival rate, the one-year recurrence rate and the degree of surgical trauma. Methods Thirty-two patients undergoing thoracoscopic assisted small incision esophageal resection were enrolled in the study. Thirty-seven patients with conventional thoracotomy for esophageal cancer were selected as the control group. The perioperative period, the number of lymph node dissection and the one-year survival rate and recurrence were compared between the two groups rate. Results There was no significant difference in the number of lymph node dissection, positive rate, 1-year survival rate and 1-year recurrence rate between the two groups (P> 0.05), while the operation time, intraoperative blood loss and postoperative drainage were significantly different All were statistically significant (P <0.05). Conclusions Thoracoscopic assisted small incision can achieve the therapeutic effect of conventional thoracotomy in esophagectomy with minimal thoracic trauma, less intraoperative blood loss and less postoperative drainage.