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目的探讨中下段食管癌患者使用胸腔镜辅助左胸小切口胃、食管超胸膜顶吻合术式的应用价值。方法 56例中下段食管癌患者,随机分为观察组和对照组,各28例。对照组采用左侧剖胸、右侧胸腹两切口等常规手术方式治疗;观察组采用胸腔镜辅助左胸小切口胃、食管超胸膜顶吻合手术治疗。比较两组患者的手术治疗效果。结果 56例中下段食管癌患者均顺利完成手术并康复出院,观察组的手术时间显著长于对照组,术中出血量、术后留置胸管引流时间、术后并发症、住院时间均显著优于对照组(P<0.05)。结论胸腔镜辅助左胸小切口胃、食管超胸膜顶吻合术式治疗中下段食管癌创伤小、并发症少,术后患者恢复快、治疗效果较传统手术好,有较高的临床应用价值。
Objective To investigate the value of thoracoscope-assisted thoracoscopic assisted small-incision stomach and esophageal superforaminal anastomosis in the middle and lower esophageal cancer patients. Methods 56 cases of mid and lower esophageal cancer patients were randomly divided into observation group and control group, 28 cases in each. The control group was treated by conventional operation such as left thoracotomy and right thoracoabdominal incision. The observation group was assisted by thoracoscope in the treatment of left small incision stomach and esophageal super pleura top anastomosis. The surgical treatment effects of two groups were compared. Results 56 cases of esophageal cancer patients were successfully completed surgery and discharged, the observation group was significantly longer than the control group, the amount of bleeding, postoperative indwelling chest tube drainage time, postoperative complications, hospital stay were significantly better than Control group (P <0.05). Conclusions Video-assisted thoracoscopic assisted small-incision thoracostomy and esophageal super-pleura top anastomosis is a good method for the treatment of lower esophageal cancer with less trauma, fewer complications and faster recovery after operation. The therapeutic effect is better than traditional surgery and has high clinical value.