T_3N_1M_0以下食管癌应用俯卧位和左侧卧位胸腔镜食管切除术的疗效对比  

Curative efficacy comparison of prone position and left lateral position thoracoscopic esophagectomy applied in esophageal cancer under T_3N_1M_0

作　　者：李冠燃[1] 方原[1] 汪洋[1] 张庆华[2] 

机构地区：[1]大连市中心医院胸外一科,辽宁大连116033 [2]大连医科大学附属第一医院心血管外科,辽宁大连116011

出　　处：《中国当代医药》2018年第1期34-36,40,共4页China Modern Medicine

摘　　要：目的比较临床分期T_3N_1M_0以下食管癌应用俯卧位和左侧卧位胸腔镜食管切除术的治疗效果。方法选择大连市中心医院2013年1月~2015年9月收治的临床分期T_3N_1M_0以下的食管癌78例患者,根据随机数字表法分为A组(俯卧位胸腔镜食管切除术)及B组(左侧卧位胸腔镜食管切除术),每组39例。比较两组患者的手术相关指标、术后并发症发生率及预后指标。结果 A组的手术时间[(215.2±16.1)min]明显短于B组[(286.8±32.6)min],术中出血量[(278.5±21.5)ml]明显少于B组[(357.7±33.0)ml],清扫淋巴结数[(8.5±1.2)枚]明显多于B组[(6.2±0.8)枚],差异均有统计学意义(P<0.05)。两组术后并发症发生率、病死率比较差异均无统计学意义(P>0.05)。结论针对T_3N_1M_0以下食管癌患者采取俯卧位及左侧卧位胸腔镜手术,两者的临床疗效相同,但俯卧位手术时间更短并对清扫淋巴结更有利。Objective To compare the treatment effect of prone position and left lateral position thoracoscopic esophagec- tomy applied in esophageal cancer under T3NiM0.Methods From January 2013 and September 2015,78 patients with esophageal cancer under T3NIM0 of clinical stages treated in Dalian Central Hospital were selected and they were divid- ed into group A （prone position thoraeoscopic esophagectomy） and group B （left lateral position thoracoscopic esophagectomy） according to the random number table method,and there were 39 cases in each group.Surgical related indexes,the incidence of postoperative complications and prognostic indicators in patients between the two groups were compared.Results The operation time of group A （[215.2±16.1] rain） was obviously shorter than that of group B （[286.8±32.6] min）,the amount of bleeding during operation of group A （[278.5±21.5] ml） was obviously fewer than that of group B （[357.7±33.0] ml）,the number of lymph nodes of group A （[8.5±1.2]） was obviously more than that of group B （[6.2±0.8]）,the differences were statistically significant （P〈0.05）.The incidence of postoperative complications and the fatality rate in group A were not significantly different from that in group B （P〉O.OS）.Conclusion For esophageal cancer under T3N1M0,surgical outcomes are similar between prone position and left lateral position thoraeoseopie esophagectomy,but the operation time of prone position operation is shorter and it is more favorable for cleaning the lymph nodes.

关 键 词：食管肿瘤 胸腔镜手术 俯卧位 左侧卧位 

分 类 号：R735.1[医药卫生—肿瘤]