中国医学创新Issue(5)：70-72,73,4.DOI:10.3969/j.issn.1674-4985.2016.05.019
胸中下段食管癌手术方式的临床研究
Clinical Study of Middle and Lower Thoracic Esophageal Carcinoma Surgery Mode
荣振华 1高双庆 2魏煜程1
作者信息
- 1. 青岛大学附属医院 山东 青岛 266000
- 2. 千佛山集团曹县医院
- 折叠
摘要
Abstract
Objective:To study the choice of middle and lower thoracic esophageal carcinoma surgery mode,so as to provide basis for clinical surgery mode of middle and lower esophageal carcinoma.Method:235 patients with lower segment esophageal cancer were retrospectively analyzed.They were divided into the left chest single incision group(Sweet operation group) for 110 cases and right chest and upper abdomen median incision group(Ivor Lewis operation group) for 125 cases according to the type of surgery.The following indicators between the two groups were compared,(1)the operation time(operation time from skin incision to skin suture end);(2)the thoracic drainage tube indwelling time;(3)in abdominal two-field lymph node dissection number;(4)the postoperative hospital stay time;(5)positive rate of esophagus resection margin;(6)perioperative complications:the incidence of anastomotic leakage,anastomotic stenosis,pulmonary complications,larynx return nerve injury,chylothorax and gastric emptying disorder.Result:The operation time of the single incision group was significantly shorter than the double incision group,and the number of lymph nodes dissection in the single incision group was significantly less than the double incision group,the differences were statistically significant(P<0.001).The average thoracic drainage tube indwelling time and length of stay in the single incision group were slightly shorter than the double incision group,but there were no statistically significant differences between the two groups(P>0.05).And there were no statistically significant differences in positive rate of esophagus upper resection margin and incidence of perioperative complications between the two groups(P>0.05).Conclusion:From the comparison of patients in the two groups,the operation time of Sweet operation group is shorter than that of Ivor-Lewis group,the visual field exposure of Ivor-Lewis operation group is better than the Sweet operation group,and can thoroughly clean the lymph nodes,there are no statistically significant differences in postoperative complications and length of stay between the two groups.关键词
胸下段食管癌/手术方式/左胸单切口Key words
Lower thoracic esophageal carcinoma/Operation mode/Left chest single incision引用本文复制引用
荣振华,高双庆,魏煜程..胸中下段食管癌手术方式的临床研究[J].中国医学创新,2016,(5):70-72,73,4.
