中国医学前沿杂志（电子版）2016，Vol.8Issue(11)：33-36,4.DOI:10.12037/YXQY.2016.11-09
胸腔镜手术对胸段食管癌淋巴结清扫效果和患者生存情况影响分析
The influence of lymph node cleaning effect by thoracoscope surgery and the analysis of survival situation for patients with thoracic segment esophageal cancer
摘要
Abstract
Objective To discuss the difference of the cleaning degree and the incidence of operative complications in the treatment of thoracic segment esophageal cancer by minimally invasive surgery and conventional open thoracic surgery, and to provide evidence for choosing the best operation scheme. Method 68 cases of thoracic segment esophageal cancer patients treated in our hospital from April 2009 to May 2011 were selected as the research objects. According to the operation method, they were divided into minimally invasion group and routine group, 34 cases in each group. Minimally invasion group patients underwent thoracoscope surgery, routine group patients were performed conventional open thoracic surgery. Observed and compared the lymph node cleaning conditions, operation conditions, incidence of operative complications and the survival situation by follow-up survey between the two groups. Result Minimally 612 lymph nodes were cleaned in invasion surgery group, of which included 146 positive lymph nodes, and the transfer rate was 23.86%; 377 lymph nodes were cleaned in routine group, of which included 47 positive lymph nodes, and the transfer rate was 12.47%. Compared to routine group, minimally invasion group had shorter operation time, postoperative chest drainage tube indwelling time and hospitalization (P < 0.05); the intraoperative blood loss, thoracicdrainage flow on the first postoperative day, and total thoracic drainage flow had significantly reduced (P < 0.05). In terms of postoperative complications occurrence, the incidence of postoperative complications of minimally invasion group were significantly less than routine group (P < 0.05), the 1-year and 2-year survival rate after surgery were significantly higher than routine group (P < 0.05). Conclusion Comparing with conventional open thoracic surgery, the thoracoscope surgery for thoracic segment esophageal cancer has significant advantages of shorter hospitalization time and less intraoperative blood loss, etc, and cancer the degree of lymph node cleaning, reduce the postoperative recurrence rate and improve patients' survival rate.关键词
食管癌/微创手术/淋巴结清扫数目Key words
Esophageal cancer/Thoracoscope/Lymph node cleaning引用本文复制引用
孙嘉阳,郭占林..胸腔镜手术对胸段食管癌淋巴结清扫效果和患者生存情况影响分析[J].中国医学前沿杂志（电子版）,2016,8(11):33-36,4.基金项目
内蒙古卫计委医疗卫生科研计划项目 （）
