胸腔镜在食管癌根治术中的应用  

The application of thoracoscope in esophageal carcinoma radical operation

作　　者：罗宝刚[1] 

机构地区：[1]河南科技大学第二附属医院胸外科,洛阳471000

出　　处：《中国当代医药》2014年第5期160-162,共3页China Modern Medicine

摘　　要：目的 探讨胸腔镜在食管癌根治手术中的应用及其安全性与临床疗效.方法 选取2011年8月～2013年8月在本院接受食管癌根治手术的患者65例,其中观察组35例患者应用全胸胸腔镜手术进行治疗,对照组30例采用传统开胸根治手术进行治疗,比较两组患者的治疗情况与疗效.结果 观察组患者的手术时间明显长于对照组（P＜0.05）,术中出血量明显少于对照组（P＜0.05）,而两组患者淋巴结清扫数差异无统计学意义（P＞0.05）；两组患者声音嘶哑情况间的差异无统计学意义（P＞0.05）,其余各项指标（肺部感染、住院时间、36 h胸部疼痛评分、24h引流量）观察组患者均优于对照组患者（P＜0.05）.结论 采用胸腔镜进行食管癌根治术,不仅创伤更小,恢复速度更快,而且能够有效降低肺部并发症的概率,虽然手术需要时间较长,但随着医疗技术的不断提高,手术时间将会越来越短,该方法值得在临床中被推荐使用.Objective To explore the application of thoracoscope in esophageal carcinoma radical operation and its safety as well as the clinical effects. Methods 65 cases of esophageal carcinoma patients who accepted the radical operation in our hospital from August 2011 to August 2013 were selected,35 cases with complete thoracoscopic operation were as observation group,and the other 30 cases that treated with traditional thoraeotomy radical operation were as control group.The treatment and curative effects of two groups were compared and explored. Results The operation time of observation group was significantly longer than that of control group （P〈0.05）,and the bleeding loss was significantly less than that of control group （P〈0.05）,but there was no significant difference in the number of lymph node dissection in two groups （P〉0.05）.The difference of hoarseness between the two groups of patients were not significantly different （P〉0.05）.The rest of the index （pulmonary infection,hospitalization time,36 hours of chest pain score and 24 hours of drainage） in the observation group were all better than those of the control group. Conclusion Applying thoracoseope in esophagea2 carcinoma radical operation,not only less trauma,faster recovery,but also can effectively reduce the probability of occurrence of pulmonary eomplieations.Ahhough the surgery takes longer,but with the continuous improvement of medical technology, surgical time will become shorter, so the method deserves to be recommended for clinical use.

关 键 词：胸腔镜 开胸术 食管癌根治术 

分 类 号：R735.1[医药卫生—肿瘤]