论文部分内容阅读
目的比较胸腔镜辅助下食管癌根治术与开放式食管癌根治术的临床疗效。方法选择2008年1月-2011年12月医院收治的60例食管癌患者为研究对象,将患者随机分为观察组和对照组组各30例。观察组采用胸腔镜辅助下食管癌根治术治疗,对照组采用常规左胸入路开放式食管癌根治术治疗,比较两组手术时间、住院时间、术中出血量、术后并发症发生率及术后生存率。结果观察组手术时间明显长于对照组,术中出血量、住院时间明显少于对照组,术后并发症发生率明显低于对照组,差异均有统计学意义(P<0.05)。经过1年的随访,两组术后1年生存率比较差异无统计学意义(P>0.05)。结论胸腔镜辅助下食管癌根治术治疗食管癌虽然手术时间延长,但是出血量少、并发症少、住院时间短等,安全、可行。
Objective To compare the clinical effects of thoracoscope assisted radical mastectomy with open esophageal cancer radical mastectomy. Methods Sixty patients with esophageal cancer admitted to our hospital from January 2008 to December 2011 were selected as the study subjects. The patients were randomly divided into observation group (30 cases) and control group (30 cases). The observation group was treated with thoracoscope assisted esophageal cancer radical mastectomy. The control group was treated with conventional left thoracic open esophageal cancer radical mastectomy. The operation time, hospitalization time, intraoperative blood loss, postoperative complications and Postoperative survival rate. Results The operation time of the observation group was significantly longer than that of the control group. The amount of bleeding and hospital stay was significantly less than that of the control group. The incidence of postoperative complications was significantly lower than that of the control group (P <0.05). After a year of follow-up, there was no significant difference in the 1-year survival rate between the two groups (P> 0.05). Conclusions Thoracoscopic assisted esophagectomy for the treatment of esophageal cancer despite the extension of operation time, but less bleeding, fewer complications, shorter hospital stay, safe and feasible.