全胸腔镜下与传统食管切除术治疗食管癌临床对比分析  

Comparison of therapeutic effects between complete video-assisted thoracic surgery and thoractomy for radical operation for esophageal cancer

作　　者：罗学平[1,2] 莫春生[1,2] 姚维深[1,2] 

机构地区：[1]南方医科大学附属南海医院 [2]佛山市南海人民医院胸外科,广东528200

出　　处：《新医学》2013年第12期854-856,共3页Journal of New Medicine

摘　　要：目的比较全电视胸腔镜(VATS)下食管切除术治疗中、上段Ⅰ、Ⅱ、Ⅲa期食管癌与传统开放式食管切除术的手术效果。方法收集因食管癌行食管切除术的61例患者手术资料,其中VATS下行食管切除术治疗食管胸中、上段癌32例(VATS组),同期完成的传统开放式食管切除术29例(对照组),比较两组患者的围手术期指标及术后并发症发生情况。结果 VATS组术中出血量少于对照组,术后第1日引流量、术后引流总量、胸腔闭式引流时间均比对照组明显缩短,两组比较差异均有统计学意义(P<0.05);两组在手术时间、淋巴结清扫个数比较差异无统计学意义(P>0.05)。结论对于Ⅰ、Ⅱ、Ⅲa期食管癌,采用VATS下食管切除术的创伤及并发症较少,优于传统开放式手术。Objective To compare the therapeutic effects between video-assisted thoracic surgery （VATS）and thoractomy for radical operation in patients with stage I、II and IIIa esophageal cancer. Methods Sixty-one patients with stage I、II and IIIa esophageal cancer were retrospectively reviewed,who underwent with either VATS radical operation （VATS group,n=32）or standard radical operation via thoractomy （open group,n=29）. Operative characteristics and postoperative courses were compared between two groups. Re-sults In two groups,there were no significant differences in the number of meditational Lymph node resection and the operation time are （P〉0.05 ）. The total volume of thoracic cavity drainage after operation,the volume of blood loss,the time of postoperative chest tube and the complications,were statistically significant between two groups （P〈0.05 ）. Conclusion Complete video-assisted thoracic surgery is safe and effective in patients with stage I、II and IIIa esophageal cancer.

关 键 词：食管癌 电视胸腔镜手术 疗效 

分 类 号：R735.1[医药卫生—肿瘤]