电视胸腹腔镜下与传统开胸手术治疗食管癌的疗效对比分析  

Cinical effect comparison of VATS and conventional thoracotomy for esophageal cancer

作　　者：李剑明[1] 刘汉云[1] 张自正[1] 张焕荣[1] 

机构地区：[1]广东省梅州市人民医院胸外科,梅州514031

出　　处：《外科研究与新技术》2015年第1期33-35,共3页Surgical Research and New Technique

摘　　要：目的电视胸腹腔镜下与传统开胸手术治疗食管癌的疗效观察。方法将我院收治并确诊的116例食管癌患者随机分为两组。对照组58例采用传统开胸手术治疗,试验组58例采用电视胸腔镜手术治疗。比较两组患者手术住院等相关情况及术后并发症发生率、总生存率的差异。结果试验组患者手术时间显著大于对照组(P<0.05),但其术后引流时间、平均住院天数及手术失血量均明显低于对照组(P均<0.05);术后并发症主要为肺部感染、吻合口瘘、喉返神经损伤等,试验组患者术后并发症发生率为6.9%显著低于对照组(6.9%对20.7%,P<0.05);试验组复发或转移3例,死亡1例,总生存率为98.28%(57/58);对照组复发或转移9例,死亡2例,总生存率为96.55%(56/58);两组总生存率接近(P>0.05)。结论电视胸腹腔镜下较传统开胸手术治疗食管癌的疗效更显著。电视胸腹腔镜下手术治疗食管癌住院时间短,恢复时间快,失血量少,患者术后并发症发生率低,可促进患者术后恢复,改善生活质量。Objective To analyze the clinical effect of video-assisted thoracoscopic surgery（VATS） and conventional thoracotomy for esophageal cancer. Method 116 patients with esophageal cancer in our hospital were selected and randomly divided into two groups. The control group（n=58）adopted the conventional thoracotomy and experimental group（n=58） adopted VATS. The hospitalization conditions and postoperative complications of two groups were compared. Result The operation time of experimental group was significantly longer than that of control group（P〈0.05）. The time of surgical drainage,average length of stay and bleeding volume of experimental group were significantly better than those of control group（P〈0.05）. The incidence rate of postoperative complications of experimental group（6.9%）was significantly lower than that of control group（20.7%）（P〈0.05）. Conclusion Compared with conventional thoracotomy,VATS has a better effect in esophageal cancer. It is featured as shorter length of stay,faster recovery,less bleeding volume,and lower incidence rate of postoperative complications. It can promote the postoperative recovery and improve patients＇ lifes quality and constitution. It worthy of application in clinical practices.

关 键 词：电视胸腹腔镜下 传统开胸手术 食管癌 疗效对比 

分 类 号：R735.1[医药卫生—肿瘤]