摘要
目的探讨胸腹腔镜食管癌根治术的手术方法、安全性及并发症预防。方法收集2015年4月-2017年8月该院进行食管癌根治术治疗的98例患者临床治疗信息,选出其中胸腹腔镜食管癌根治术46例患者作为实验组,行传统开胸食管癌根治术的52例患者为对照组,回顾性分析两组患者的临床治疗效果。结果传统开胸组的术中出血量(289.9±101.8)mL、拔除胸管时间(7.1±2.99)d、平均住院时间(18.7±3.1)d、均大于胸腹腔镜组,差异有统计学意义(t=2.380、2.660,P=0.030、0.010、0.010);胸腹腔镜组肺部并发症、心律失常发生率低于传统开胸组,但是患者的吻合口瘘(6例)、声带麻痹症状(8例)的发生几率高于传统开胸组,差异有统计学意义(χ^2=5.230、3.880,P=0.020、0.040)。结论胸腹腔镜食管癌根治术较传统开胸手术并发症少,恢复快,在围手术期优势明显,值得推广。
Objective To investigate the surgical methods,safety and prevention of complications in thoracic laparoscopic radical esophageal cancer.Methods The clinical treatment information of 98 patients who underwent radical resection of esophageal cancer in the Hospital,Jiangsu Province from April 2015 to August 2017 was collected.46 patients with thoracoscopic laparoscopic radical esophagectomy were selected in the experimental group,52 patients who underwent radical open esophageal cancer were treated as a control group.The clinical effects of the two groups were retrospectively analyzed.Results The intraoperative blood loss(289.9±101.8)mL,chest tube removal time(7.1±2.99)d,average hospital stay(18.7±3.1)d,were high than the traditional open chest group,the difference was statistically significant(t=2.380,2.660,3.000,P=0.030,0.010,0.010);the incidence of pulmonary complications and arrhythmia in the thoracoscopic laparoscopic group was lower than that of the traditional thoracotomy group,but the patient’s anastomotic leakage(6 cases),vocal cord paralysis symptoms(8 cases)occurred more frequently than the traditional open chest groupthe difference was statistically significant(χ^2=5.230,3.880,P=0.020,0.040).Conclusion Thoracic laparoscopic radical esophageal cancer surgery has fewer complications than traditional thoracotomy,and it has a quick recovery.It has obvious advantages in perioperative period and it is worthy of promotion.
作者
季中华
汤井双
JI Zhong-hua;TANG Jing-shuang(Department of Thoracic and Cardiovascular Surgery,People's Hospital of Shuyang County,Shuyang,Jiangsu Province,223600 China)
出处
《系统医学》
2019年第20期7-9,共3页
Systems Medicine
关键词
食管癌
胸腹腔镜
临床效果
并发症
Esophageal cancer
Thoracolumbar laparoscopic
Clinical effect
Complications
