国际医药卫生导报2012，Vol.18Issue(9)：1268-1270,3.DOI:10.3760/cma.j.issn.1007-1245.2012.09.027
胸腹腔镜联合治疗与食管癌根治术治疗食管癌的疗效观察
Thoracoscopic and laparoscopic surgery versus esophagectomy for esophageal carcinoma
摘要
Abstract
Objective To compare the safety,feasibility,and efficacy of thoracoscopic and laparoscopic surgery with those of traditional esophagectomy for esophageal carcinoma.Methods The data on 120 patients with esophageal carcinoma who had been treated during January 2010 to July 2011 were retrospectively.71 patients received thoracoscopic and laparoscopic surgery ( TLS group ), while 49 patients received conventional open esophagectomy ( OE group ).The clinical data and the efficacy the procedure were compared between the two groups.Results The total surgical duration was ( 276 ± 16 ) min in TLS group and ( 297 ± 19 ) min in OE group ( P＞ 0.05 ); intraoperative blood loss was less in TLS group than in OE group [( 218 ± 34 )ml vs.( 298 ± 37 )ml,P＜ 0.01].The patients had lower pain level in TLS group than in OE group on day 3.( P ＜ 0.01 ).The rate of complications associated with respiratory system differed signficantly between TLS group and OE group ( 9.8％ vs.29.2％,P＜ 0.01 ).Four patients in OE group developed incomplete intestinal obstruction but no patients developed such disorder in TLS group ( P＜ 0.05 ).The mean follow-up duration was ( 15.3 ± 2.1 )mon in both goups.The total recurrence rate and the survival rate did not differed significartly between TLS group and OE group ( 7.8％ vs.10.4％ and 90.2％ vs.88.3％,P ＞ 0.05 ).Conclusions As compared with conventional open esophagectomy,thoracoscopic and laparoscopic surgery for esophageal carcinoma is safer and less invasive and has a lower rate of complications It is worth popularizing clinically.关键词
食管癌/胸腔镜/腹腔镜Key words
Esophageal carcinoma/Thoracoscopy/Laparoscopy引用本文复制引用
田明发..胸腹腔镜联合治疗与食管癌根治术治疗食管癌的疗效观察[J].国际医药卫生导报,2012,18(9):1268-1270,3.
