胸腔镜辅助三切口食管癌切除术与开放手术的疗效及安全性对比研究  

Comparison of Clinical Efficacy and Safety of Thoracoscopic Assisted Esophagectomy with Three Incision and Open Surgery for Esophageal Cancer

作　　者：潘琪[1] 左传田[1] 杨立[1] 王守峰[1] 吴俊伟[1] 茅乃权[1] 

机构地区：[1]广西医科大学附属肿瘤医院,530021

出　　处：《实用癌症杂志》2016年第11期1831-1833,共3页The Practical Journal of Cancer

摘　　要：目的比较分析胸腔镜辅助三切口食管癌切除术与开放手术的疗效及安全性。方法以行手术治疗的食管癌患者93例作为研究对象,根据手术方式的不同将其分为观察组43例及对照组50例,观察组行胸腔镜辅助三切口手术,对照组行开放三切口手术。对两组患者围手术期指标、术后并发症、术后生存率进行观察与比较。结果观察组患者术中出血量及术后住院时间明显优于对照组,差异有统计学意义(P<0.05)。在手术时间、淋巴结清扫个数及医疗费用方面,两组差异不显著(P>0.05)。观察组并发症发生率为30.23%,对照组为52.00%,观察组明显低于对照组(P<0.05)。观察组患者与对照组患者1年、3年及5年生存率均接近,差异无统计学意义(P>0.05)。结论胸腔镜辅助三切口食管癌切除术具有良好的疗效及安全性,值得临床推广应用。Objective To compare the clinical efficacy and safety of thoracoscopic assisted esophagectomy with three incision and open surgery for esophageal cancer.Methods 93 patients with esophageal cancer underwent operation were divided into the observation group with 43 cases and the control group wit 50 cases,according to different operation methods.Perioperative indexes,postoperative complications and survival rates were observed and compared.Results Blood loss and hospital stay of the observation group were lower than those of the control group with statistical difference（ P 0.05）.But the difference in operation time,number of lymph node and medical costs between the 2 groups had no statistical significance（ P 0.05）.Complication rate of the observation group was 30.23%,which was obviously lower than that of the control group,52.00%,（ P 0.05）.1-,3-and5-year survival rates of groups were almost the same（ P 0.05）.Conclusion Thoracoscopic assisted esophagectomy with three incision has good efficacy and safety,it is worthy of clinical application.

关 键 词：食管癌 三切口食管癌切除术 胸腔镜 开放手术 

分 类 号：R735.1[医药卫生—肿瘤]