中国现代手术学杂志2017，Vol.21Issue(1)：27-30,4.DOI:10.16260/j.cnki.1009-2188.2017.01.007
胸腔镜食管癌根治术的临床效果及术后并发症观察
Observation of Clinical Effect and Postoperative Complications of Video-assisted Thoracoscopic Surgery in Patients with Esophageal Carcinoma
李晓雷 1徐俊 1梁青松 1陈旭1
作者信息
- 1. 四川省南充市中心医院胸外科,南充637000
- 折叠
摘要
Abstract
Objective To observe the clinical effect and postoperative complications in patients with esophageal carcinoma treated by video-assisted thoracoscopic surgery.Methods From August 2014 to September 2016,92 cases of esophageal carcinoma were treated in our hospital.The patients were divided into the observation group and the control group,with 46 patients in each group.The observation group was treated with videoassisted thoracoscopic surgery.And the control group was treated with open esophagectomy.The operation indexes,pulmonary function and postoperative complications were compared between the two groups.Results Operation time of the observation group was significantly longer than that of the control group (P ＜ 0.05);The amount of intraoperative bleeding,postoperative drainage,extubation time and postoperative ambulation time of the observation group was significantly better than that of the control group (P ＜ 0.05).There was no significant difference between the groups in the number of dissected lymph nodes (P ＞0.05).The VC％ and FEV1％ of the observation group was significantly better than that of the control group (P ＜ 0.05).But there was no significant difference in FEV％,FVC％ and MVV％ between the two groups (P ＞ 0.05).The postoperative complication rate of the observation group and the control group was 15.22％ (7/46) and 43.48％ (20/46) respectively;which showed obvious superiority of the observation group (P ＜ 0.05).Conclusion Comparing with traditional open chest surgery,it is recommended of the thoracoscopic radical resection for esophageal carcinoma patients for the advantages of less trauma,quicker recovery and less postoperative complication rate.关键词
胸腔镜检查/食管肿瘤Key words
thoracoscopy/esophageal neoplasms分类
医药卫生引用本文复制引用
李晓雷,徐俊,梁青松,陈旭..胸腔镜食管癌根治术的临床效果及术后并发症观察[J].中国现代手术学杂志,2017,21(1):27-30,4.
