探讨胸、腹腔镜联合下食管癌根治术技术上的可行性  

To Explore the Feasibility of the Technique of Radical Resection of Esophageal Carcinoma Combined with Thoracic and Laparoscopic Surgery

作　　者：顾鸣鸣 刘锟[1] 

机构地区：[1]南通大学附属医院心胸外科,江苏南通226001

出　　处：《系统医学》2016年第12期112-114,共3页Systems Medicine

摘　　要：目的探讨胸、腹腔镜联合下食管癌根治术技术上的可行性。方法选取该院心胸外科自2013年8月—2015年11月收治的80例食管癌患者作为观察对象,随机分为治疗组与对照组2组,每组40例。对照组采取常规三切口开放食管癌根治术治疗,治疗组则采取前倾左侧卧位胸、腹腔镜联合下食管癌根治术治疗。记录2组患者的淋巴结清扫数量、胸腔引流管留置时间与引流量。结果治疗组的清扫纵隔淋巴结数量与对照组相比差异无统计学意义(P>0.05);治疗组术后拔出胸腔镜引流管平均时间、胸腔平均总引流量等均明显优于对照组(P<0.05)。结论胸、腹腔镜联合下食管癌根治术技术上能够明显改善患者的手术情况,且不增加并发症的发生率。Objective To explore the feasibility of the technique of radical resection of esophageal carcinoma combined with thoracic and laparoscopic surgery. Methods 80 cases of esophageal cancer patients admitted to our hospital from August 2013 to November 2015 were randomly divided into treatment group and control group with 40 cases in each group, 2 cases in each group. While the control group adopted conventional incision open esophageal cancer radical mastectomy in the treatment, the treatment group take forward left decubitus chest, laparoscopic combined esophageal cancer treated with radical mastectomy. The number of lymph node dissection, the indwelling time of thoracic drainage tube and the lead discharge were recorded in the 2 groups. Results The treatment group of cleaning mediastinal lymph node number and the control group had no significant difference(P > 0.05); treatment group were pulled out thoracoscopic drainage tube in the mean time, pleural average total drainage volume, were significantly better than the control group(P < 0.05). Conclusion Thoracic and laparoscopic surgery combined with esophageal cancer radical surgery can significantly improve the patients' operation, and does not increase the incidence of complications.

关 键 词：胸腔镜 腹腔镜 食管癌 术后并发症 

分 类 号：R735.1[医药卫生—肿瘤]