胸腹腔镜Ivor-Lewis术在老年早期食管癌患者中的应用效果  

Application effect of thoracoscopy and laparoscopy Ivor-Lewis operation in elderly patients with early esophageal cancer

作　　者：陈鑫[1] 孙志红[1] 葛鹏[1] CHEN Xin;SUN Zhi-hong;GE Peng(the Second Affiliated Hospital of Xi'an Medical University,Xi'an 710000,China)

机构地区：[1]西安医学院第二附属医院

出　　处：《临床医学研究与实践》2019年第31期71-72,共2页Clinical Research and Practice

摘　　要：目的探讨胸腹腔镜Ivor-Lewis术在老年早期食管癌患者中的应用效果。方法回顾性分析2015年1月至2017年1月我院收治的92例老年早期食管癌患者的临床资料,将行胸腹腔镜Ivor-Lewis术治疗的47例患者作为A组,行McKeown术治疗的45例患者作为B组。比较两组的治疗效果。结果A组术后24 h的血清ACTH及Cor水平均低于B组(P<0.05)。A组患者的并发症总发生率低于B组(P<0.05)。术后随访1年,两组的复发率比较,差异不具有统计学意义(P>0.05)。结论在老年早期食管癌患者中应用胸腔镜Ivor-Lewis术较McKeown术的应激反应更小,且并发症发生率更低。Objective To explore the application effect of thoracoscopy and laparoscopy Ivor-Lewis operation in elderly patients with early esophageal cancer. Methods The clinical data of 92 elderly patients with early esophageal cancer treated in our hospital from January 2015 to January 2017 were retrospectively analyzed. Forty-seven patients who underwent thoracoscopy and laparoscopy Ivor-Lewis operation were selected as group A and 45 patients who underwent McKeown operation were selected as group B. The therapeutic effects of the two groups were compared. Results The levels of serum ACTH and Cor in the group A were lower than those in the group B at 24 hours after operation (P<0.05). The total incidence of complications in the group A was lower than that in the group B (P<0.05). After 1 year follow-up, there was no significant difference in recurrence rate between the two groups (P>0.05). Conclusion Thoracoscopy and laparoscopy Ivor-Lewis operation has less stress response and lower incidence of complications than McKeown operation in elderly patients with early esophageal cancer.

关 键 词：食管癌 胸腹腔镜 Ivor-Lewis术 McKeown术 

分 类 号：R735.1[医药卫生—肿瘤]