全腔镜与开放食管癌根治术的近期效果对比研究  

The short-term surgical outcomes of endoscopic or traditional open esophagectomy

作　　者：朱坤寿[1] 王枫[1] 方卫民[1] 陈元美[1] 林绍峰[1] 应敏刚[1] ZHU Kunshou, WANG Feng, FANG Weimin, CHEN Yuanmei, LIN Shaofeng, YING Min＇gang(Department of Thoracic Surgery, Fujian Provincial Tumor Hospital, Fujian Medical University, Fuzhou 350014, Fujian, Chin)

机构地区：[1]福建省肿瘤医院胸部外科,福州3500140

出　　处：《癌症进展》2018年第1期88-91,共4页Oncology Progress

摘　　要：目的分析全腔镜与开放食管癌根治术在食管癌治疗中的近期效果。方法回顾性分析接受全腔镜或开放食管癌根治术的94例食管癌患者的临床资料,根据手术方式的不同将患者分为全腔镜组和传统开放组,每组47例。比较两组患者的围手术期指标和术后指标。结果全腔镜组患者的住院时间、术后下床时间及术后排气时间明显短于传统开放组,术中出血量明显少于传统开放组,胸部和腹部切口长度明显短于传统开放组,手术时间明显长于传统开放组,差异均有统计学意义(P﹤0.01)。全腔镜组患者肺部感染的发生率低于传统开放组,差异有统计学意义(P﹤0.05)。两组患者的局部复发率和远处转移率比较,差异均无统计学意义(P﹥0.05)。结论全腔镜食管癌根治术能够有效减轻手术创伤,缩短住院时间,可作为临床上食管癌外科治疗的良好术式。Objective To compare the short-term effect between minimally invasive video-assisted Ivor Lewis esophagectomy（minimally invasive esophagectomy,MIE） and open surgery for esophageal carcinoma.Method The clinical profile of 94 patients who received MIE or open esophagectomy were retrospectively analyzed,in which 47 cases were treated with endoscopic surgery（MIE group）,and another 47 cases were administered with traditional open surgery（open surgery group）.The perioperative and post-operative measures were compared between the two groups.Result Compared with open surgery group,MIE group had shorter hospital stay,shorter postoperative activity time,shorter postoperative exhaust time,less blood loss,shorter incision length,but longer operative time,and the differences were of statistically significance（P〈0.01）.The incidence of pulmonary infection was lower in MIE group compared to open surgery group（P〈0.05）.The local recurrence rate and distant metastasis rate of the two groups were similar（P〈0.05）.Conclusion MIE can promote post-operative recovery and reduce hospital stay,which may be applied as a minimally invasive approach for esophageal carcinoma.

关 键 词：腹腔镜 胸腔镜 食管 肿瘤 复发 

分 类 号：R735.1[医药卫生—肿瘤]