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目的探讨手辅助电视胸腔镜行食管癌切除术的3年疗效。方法对40例术前判断T3N1M0期以下食管癌患者行手辅助电视胸腔镜食管癌切除术(HVATS 组),同期施行常规开胸手术40例(对照组)。分组随访计算出各自3年生存率,应用 SPSS10.0计算机软件包建立数据库,进行Cox 回归生存分析。结果研究组手术切除效果满意,术后生活质量高。HVATS 组3年生存率为52.7%,常规手术组为51.3%,两者差异没有统计学意义(P>0.05)。结论手辅助电视胸腔镜食管癌切除术能够达到常规开胸手术相同的切除效果,且具有手术时间短、创伤小、恢复快等优点。其更长期生存情况有待进一步观察。
Objective To investigate the 3-year efficacy of hand-assisted video-assisted thoracoscopic esophageal cancer resection. Methods Forty patients with esophageal cancer who underwent esophagectomy and esophageal cancer resection (HVATS group) underwent preoperative evaluation of T3N1M0, and 40 patients underwent conventional thoracotomy (control group) during the same period. Group 3 were followed up to calculate the survival rate, the use of SPSS10.0 computer software package to establish a database for Cox regression analysis. Results The study group was satisfied with the surgical resection and high quality of life after surgery. The 3-year survival rate was 52.7% in the HVATS group and 51.3% in the conventional surgery group, with no significant difference between the two groups (P> 0.05). Conclusions Hand-assisted video-assisted thoracoscopic esophageal cancer resection can achieve the same resection effect as conventional thoracotomy, and has the advantages of short operation time, small trauma and rapid recovery. Its longer-term survival needs further observation.