摘要
目的比较食管癌腔镜三切口手术与开放三切口术后吻合口瘘、切口疼痛及术后早期呼吸系统并发症发生率等,评估患者术后近期生活生活质量,进一步确定腔镜食管癌根治术的可行性。方法筛选2018年9月至2021年11月收入的Ⅰ~Ⅲa期食管癌患者80例,分别行腔镜三切口食管癌根治术(腔镜组)及开放三切口食管癌根治术(开放组),每组40例。比较两组术中出血、术后吻合口瘘、术后近期切口疼痛(数字评分法)及术后近期呼吸系统并发症情况。结果腔镜组较开放组术中出血情况明显减少、术后疼痛程度明显减弱,术后呼吸道并发症明显减低(均P<0.05);而胸腹腔淋巴结清扫、术后并发症(比如乳糜胸、声带麻痹等)发生情况差异无明显差异(P>0.05),腔镜组较开放组有较低的吻合口瘘发生率,但差异无明显统计学意义(P>0.05)。结论胸腹腔镜食管切除术术后近期并发症发生率低,吻合口漏发生率较低,腔镜组食管切除术患者的近期生活质量优于开放组手术患者。
Objective To evaluate the early postoperative quality of life of patients by comparing the incidence of anastomotic fistula,incision pain and early postoperative respiratory complications after endoscopic three-incision surgery and open three-incision surgery for esophageal cancer,and to further determine the feasibility of laparoscopic radical resection of esophageal cancer.Methods A total of 80 patients with stageⅠ-Ⅲa esophageal cancer enrolled from September 2018 to November 2021 were selected and respectively received endoscopic three-incision radical esophagectomy(endoscopic group)or open three-incision radical esophagectomy(open group),with 40 cases in each group.Intraoperative bleeding,postoperative anastomotic fistula,postoperative incision pain(numerical scoring method)and postoperative respiratory complications were compared between the two groups.Results Compared with the open group,the intraoperative bleeding,postoperative pain and postoperative respiratory complications were significantly reduced in the endoscopic group(P<0.05).There was no significant difference in the incidence of thoracoabdominal lymph node dissection and postoperative complications(such as chylothorax and vocal cord paralysis,etc.)(P>0.05).Compared with the open group,the endoscopic group had a lower incidence of anastomotic fistula,but the difference was not statistically significant(P>0.05).Conclusion The incidence of short-term complications and anastomotic leakage after thoracic laparoscopic esophagectomy is low.The short-term quality of life of endoscopic esophagectomy patients is better than that of open esophagectomy patients.
作者
韩光
HAN Guang(The Affiliated Taizhou People's Hospital of Nanjing Medical University,Taizhou Jiangsu 225300,China)
出处
《泰州职业技术学院学报》
2022年第6期47-50,共4页
Journal of Taizhou Polytechnic College
关键词
食管癌
腔镜
术后吻合口瘘
疼痛
呼吸道并发症
esophageal cancer
cavity mirror
postoperative anastomotic fistula
pain
respiratory complications
