中国医学创新Issue(1)：17-20,4.DOI:10.3969/j.issn.1674-4985.2016.01.005
微创McKeown与Ivor-Lewis手术治疗中下段食管癌临床分析
Clinical Analysis of Minimal Invasive McKeown and Ivor-Lewis Surgery in the Treatment of Middle-Lower Section Esophageal Cancer
孟庆江1
作者信息
- 1. 河南省开封市中心医院 河南 开封 475000
- 折叠
摘要
Abstract
Objective:To analyze and compare the clinical effect of minimal invasive McKeown and Ivor-Lewis surgery in the treatment of middle-lower section esophageal cancer in order to provide clinical basis for the middle-lower section esophageal cancer patients to choose the appropriate operation plan.Method:The clinical data of patients with minimal invasive McKeown surgery(26 cases)and patients with Ivor-Lewis surgery(21 cases)were retrospectively analyzed.The perioperative data and the incidence of postoperative complications were compared in patients with different operation methods.Result:The operation time of the Ivor-Lewis group was less than that of the McKeown group,the extubated time of the Ivor-Lewis group was longer than that of McKeown group,the differences were statistically significant(P<0.05).The differences in the blood loss,number of lymph node cleaning,hospital stays and total incidence rate of complications between the two groups were not statistically significant(P>0.05). The incidence rates of anastomotic fistula and lung infection in the McKeown group were higher than those in the Ivor-Lewis group,the differences were statistically significant(P<0.05).The differences in the incidence of anastomotic stenosis, injury of recurrent nerve and reflux symptoms were not statistically significant(P>0.05).Conclusion:Both minimal invasive McKeown and Ivor-Lewis surgery are the ideal operation for the treatment of middle-lower section esophageal cancer.But minimal invasive Ivor-Lewis surgery has less operation time,lower incidence rates of anastomotic fistula and lung infection,which has a good clinical application value.关键词
食管癌/胸腔镜/腹腔镜/微创McKeown手术/微创Ivor-Lewis手术Key words
Esophageal carcinoma/Thoracoscopy/Laparoscopy/Minimal invasive McKeown surgery/Minimal invasive Ivor-Lewis surgery引用本文复制引用
孟庆江..微创McKeown与Ivor-Lewis手术治疗中下段食管癌临床分析[J].中国医学创新,2016,(1):17-20,4.
