传统与改良喉返神经淋巴结清扫在胸腔镜食管癌手术中的疗效对比  

Comparison of the Efficacy of Traditional and Modified Recurrent Laryngeal Nerve Lymph Node Dissection in Thoracoscopic Surgery for Esophageal Cancer

作　　者：张伟亮 ZHANG Weiliang(Department of Thoracic Surgery,Puning People's Hospital,Puning,Guangdong,515300,China)

机构地区：[1]普宁市人民医院胸外科,广东普宁515300

出　　处：《中外医疗》2025年第6期30-33,共4页China & Foreign Medical Treatment

摘　　要：目的探讨临床对患者在实施胸腔镜食管癌手术时分别选择传统以及改良喉返神经淋巴结(recurrent laryngeal nerve lymph nodes,RLNLN)清扫方法完成治疗后获得的临床疗效。方法选取2021年7月—2023年7月普宁市人民医院收治的72例胸腔镜食管癌手术患者为研究对象,按照不同手术方式分为对照组(36例)和研究组(36例),对照组临床选择的手术方式为传统手术方式,研究组临床选择的手术方式为改良喉返神经淋巴结清扫手术方式。观察对比两组手术患者的淋巴结清扫情况、手术指标以及并发症总发生率。结果研究组RLNLN清扫时间短于对照组,右RLNLN清扫数量以及左RLNLN清扫数量均多于对照组,差异均有统计学意义(P均<0.05)。研究组术中出血量、临床手术时间、术后胸管留置时间、平均住院时间与对照组相比,差异均无统计学意义(P均>0.05)。研究组并发症总发生率为2.78%(1/36),低于对照组的22.22%(8/36),差异有统计学意义(χ^(2)=4.571,P<0.05)。结论临床在开展胸腔镜食管癌手术治疗工作期间,改良RLNLN清扫方法的配合应用,可改善患者的淋巴结清扫情况,并降低并发症发生率。Objective To investigate the clinical efficacy of traditional and modified recurrent laryngeal nerve lymph nodes(RLNLN)dissection in thoracoscopic esophageal cancer surgery.Methods A total of 72 patients with thoracoscopic esophageal cancer surgery admitted to Puning People's Hospital from July 2021 to July 2023 were selected as the research objects.According to different surgical methods,they were divided into control group(36 cases)and study group(36 cases).The surgical method selected by the control group was the traditional surgical method,and the surgical method selected by the study group was the modified RLNLN.The lymph node dissection,surgical indicators and total incidence of complications were observed and compared between the two groups.Results The time of RLNLN dissection in the study group was shorter than that in the control group,the number of right RLNLN dissection and the number of left RLNLN dissection in the study group were more than those in the control group,the differences were statistically significant(all P<0.05).There was no significant difference in intraoperative blood loss,clinical operation time,postoperative chest tube indwelling time and average hospitalization time between the study group and the control group(all P>0.05).The total incidence of complications in the study group was 2.78%(1/36)lower than 22.22%(8/36)in the control group,and the difference was statistically significant(χ^(2)=4.571,P<0.05).Conclusion During the clinical treatment of thoracoscopic esophageal cancer surgery,the combined application of improved RLNLN dissection method can improve the lymph node dissection of patients and reduce the incidence of complications.

关 键 词：胸腔镜食管癌手术 传统手术 改良喉返神经淋巴结清扫 手术疗效 

分 类 号：R4[医药卫生—临床医学]