经左胸或右胸入路手术治疗胸下段食管癌的近远期疗效  

Short and long term efficacy of lower thoracic esophageal carcinoma treated by left or right thoracic approach

作　　者：董玲 宋鹏宇 DONG Ling;SONG Pengyu(Department of Thoracic Surgery,the Second Affiliated Hospital of Dalian Medical University,Dalian,Liaoning,116027,China;Department of Thoracic Surgery,Taiyuan Central Hospital,Taiyuan,Shanxi,030000,China)

机构地区：[1]大连医科大学附属第二医院胸外科,辽宁大连116027 [2]太原市中心医院胸外科,山西太原030000

出　　处：《当代医学》2023年第31期158-160,共3页Contemporary Medicine

摘　　要：目的探讨经左胸或右胸入路手术治疗胸下段食管癌的近远期疗效。方法选取2019年12月至2021年11月大连医科大学附属第二医院收治的72例胸下段食管癌患者作为研究对象,按照手术部位不同分为左胸组与右胸组,每组36例。左胸组给予经左胸入路手术治疗,右胸组给予经右胸入路手术治疗。比较两组近期疗效指标、远期疗效指标、术后并发症发生率。结果左胸组手术时间、住院时间均短于右胸组,术中出血量少于右胸组,差异有统计学意义(P<0.05);两组胃小弯、上纵隔、中纵隔、下纵隔、贲门、胃左淋巴结转移率比较差异无统计学意义;左胸组术后并发症发生率为11.11%,低于右胸组的33.33%,差异有统计学意义(P<0.05)。结论胸下段食管癌患者经左胸或右胸入路手术治疗对清扫淋巴结效果和远期疗效无明显差异,经左胸入路手术治疗胸下段食管癌患者手术创伤较小,术后相关并发症发生率低,手术患者近期疗效较好,值得临床推广应用。Objective To investigate the short and long term efficacy of lower thoracic esophageal carcinoma treated by left or right thoracic ap-proach.Methods 72 patients with lower thoracic esophageal cancer admitted to the Second Affiliated Hospital of Dalian Medical University from December 2019 to November 2021 were selected as the study subjects,and they were divided into the left thoracic group and the right thoracic group according to the different surgical sites,with 36 cases in each group.The left thoracic group was treated by the left thoracic approach,and the right thoracic group was treated by the right thoracic approach,the short-term efficacy index,long-term efficacy index and postoperative complication rate were compared between the two groups.Results The operation time and hospital stay in the left thoracic group were shorter than that in the right thoracic group,and the intraoperative blood loss was less than that in the right thoracic group,the difference was statistically significant(P<0.05).There was no significant difference in the metastasis rate of gastric flexura,superior mediastinum,midmediastinum,inferior mediastinum,cardiac and left gastric lymph nodes between the two groups.The incidence of postoperative complications in the left thoracic group was 11.11%,which was lower than 33.33%in the right thoracic group,and the difference was statistically significant(P<0.05).Conclusion There is no significant differ-ence in the efficacy of lymph node dissection and long term efficacy in patients with lower thoracic esophageal cancer treated by the left thoracic approach or the right thoracic approach.The left thoracic approach for lower thoracic esophageal cancer patients has less surgical trauma,low incidence of postoperative complications,and good short-term curative effect,which is worthy of clinical promotion and application.

关 键 词：胸下段食管癌 经左胸入路手术 经右胸入路手术 近远期疗效 

分 类 号：R735.1[医药卫生—肿瘤]