摘要
目的对比分析胸腹腔镜联合食管癌切除与传统手术的近期疗效。方法回顾性分析2005年12月至2012年6月,47例行胸腹腔镜联合食管癌切除与51例行传统三切口食管癌切除患者的临床资料,分析比较两组临床常见并发症等近期临床效果指标。结果胸腹腔镜联合食管癌切除与传统手术在淋巴结清扫、再次开胸止血、吻合口瘘发生率、围术期病死率、2年生存率方面差异无统计学意义(P>0.05);胸腹腔镜联合食管癌切除在平均出血量、胸管拔除时间、肺部感染发生率、平均住院时间方面明显优于传统手术(P<0.05);在手术时间方面稍长于传统手术(P<0.O5)。结论胸腹腔镜联合食管癌切除与传统手术比较,安全可行,近期手术效果满意。
Objective To compare and evaluate the short-term results of combination of Thoracoscopy and laparoscopy for treatment of esophageal carcinoma with traditional operation. Methods Review the clinical datas of 47 patients who underwent combination of Thoraeoseopy and Laparoscopy for treatment of esophageal carcinoma from December 2005 to June 2012,51 patients who underwent traditonal operations during the the same period.Compare and evaluate the clinical short-term records of the two groups such as common compliacations. Results In clearing of lymph nodes,second opening thorax for hemostasis,anastomose fistula,perioperative death rate ,survival rate for two years ,combination of Thoracoseopy and Laparoscopy operation had no significant statistics difference compared to traditional operation.But in average bleeding, the time of drawing thoracic tube ,the rate of lung infection, average time in hospital ,combination of Thoracoscopy and Laparoscopy was better than traditional operation, and the operation time was longer in some short in combination of Thoracoscopy and Laparoscopy. Conclusions Comparing with traditional operation, combination of Thoracoscopy and Laparoscopy for treatment of esophageal carcinoma is safe and has satisfactory short-term results.
出处
《中华腔镜外科杂志（电子版）》
2013年第2期38-41,共4页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
食管癌
胸腹腔镜联合
传统手术
Esophageal carcinoma
Combination of Thoracoscopy and Laparoscopy
Traditional operation
