胸、腹腔镜结合食管癌切除二野淋巴结清扫术治疗中期食管癌的可行性研究  

Feasibility study of thoracoscopy and laparoscopy esophagectomy combined with two field lymphadenectomy after resection of esophageal carcinoma for middle esophageal carcinoma

作　　者：林晓竹[1] 

机构地区：[1]广东省揭阳市人民医院心胸外科,广东揭阳522000

出　　处：《中国当代医药》2017年第12期69-71,共3页China Modern Medicine

摘　　要：目的分析应用胸、腹腔镜结合食管癌切除二野淋巴结清扫术治疗中期食管癌的可行性以及临床价值。方法选取2014年2月~2016年8月我院收治的中期食管癌患者76例,按照患者就诊ID号奇、偶数区别分为观察组与对照组两组,对照组采用开放式食管癌切除手术,观察组采用胸、腹腔镜结合食管癌切除二野淋巴结清扫术。比较两组的手术疗效以及术后并发症发生情况。结果所有患者均顺利完成手术,观察组患者的手术时间[(132.21±18.42)min vs.(160.54±21.35)min]、出血量[(201.32±52.16)ml vs.(241.35±77.68)ml]、淋巴结清扫数目[(26.89±8.95)个vs.(21.65±10.84)个]以及住院天数[(8.36±1.24)d vs.(10.92±3.24)d]均优于对照组(P<0.05);观察组、对照组的肺部感染(10.26%vs.20.62%)、声音嘶哑(15.38%vs.8.11%)、心律失常(2.56%vs.16.22%)发生率差异有统计学意义(P<0.05)。结论胸、腹腔镜结合食管癌切除二野淋巴结清扫术治疗中期食管癌安全可行,淋巴结清扫效果更优,具有较高的临床推广价值。Objective To analyze the feasibility and clinical value of thoracoscopy and laparoscopy esophagectomy combined with two field lymphadenectomy after resection of esophageal carcinoma for middle esophageal carcinoma. Methods 76 patients with middle esophageal carcinoma treated in our hospital from February 2014 to August 2016 were chosen and divided into control group and observation group according to the parity of ID number.The control group was treated with open esophagectomy While the observation group was treated with thoracoscopy and laparoscopy esophagectomy combined with two field lymphadenectomy after resection of esophageal carcinoma.The therapeutic effect and postoperative complications between two groups were compared.Results All patients were successfully completed surgery,the operation time [（132.21±18.42） min vs. （160.54±21.35） min],the amount of bleeding [（201.32±52.16） ml vs. （241.35±77.68） ml],the number of lymph node dissection [（26.89±8.95） vs. （21.65±10.84） d],the hospital stay [（8.36±1.24） d vs. （10.92±3.24） d] in the observation group were better than those of the control group （P〈0.05）.There was a syiatistical difference of incidence rate of pulmonary infection （10.26% vs. 20.62%）,hoarseness （15.38% vs. 8.11%）,and arrhythmia （2.56% vs. 16.22%） between the observation group and the control group （P〈0.05）.Conelusion The thoracoscopy and laparoscopy esophageetomy combined with two field lymphadeneetomy after resection of esophageal carcinoma is effective and safe for middle esophageal carcinoma,which is better in lymph node dissection,and it has a higher clinical promotion value.

关 键 词：胸腔镜 腹腔镜 食管癌 淋巴结清扫术 

分 类 号：R735.1[医药卫生—肿瘤]