摘要
目的研究高龄食管癌患者行三切口手术治疗的可行性及安全性。方法选择本院2009年10月～2012年6月46例高龄食管癌患者采用三切口食管癌根治术,其中腹部手术采用腹腔镜治疗的23例患者设为观察组,采用开腹术的23例患者为对照组,观察两组手术时间、效果及并发症发生率。结果两组患者手术后病理分散、淋巴结切除数及并发症发生率比较差异无统计学意义(P>0.05)。观察组平均手术时间为(53.8±20.9)min,明显短于对照组,平均出血量为(49.5±25.5)mL,大大少于对照组,两组比较,差异有统计学意义(P<0.05)。结论高龄食管癌患者行三切口手术治疗是可行的,且安全性高,腹部手术结合腹腔镜技术可缩短手术时间,减少术中出血量。
Objective To research the feasibility and safety of three incision operation treatment on the elderly patients with esophageal carcinoma.Methods Forty-six elderly patients with esophageal carcinoma treated with three incision operation in our hospital from October 2009 to June 2012 were selected.Among the patients with abdominal operation,23 pa tients treated with laparoscopic were selected as observation group,and 23 patients treated with laparotomy as control group.Observed the operation time,effect and complication rate of the two groups.Results There was no significance between the two groups on operation pathology dispersion,lymph node excision of lymph node number and complication rate（P 0.05）.As for the average operation time,the observation group was（53.8 ±20.9） min which was shorter significantly than the control group,and the average volume of bleeding was（49.5±25.5） mL which was less than the control group.The difference between two groups,which has statistical significance（P 0.05）.Conclusion Three incision operation treatment on the elderly patients with esophageal carcinoma is feasible and has high safety.Abdominal operation combined with la paroscopic technique can shorten the operation time and reduce the amount of bleeding in operation.
出处
《中国当代医药》
2012年第29期40-41,共2页
China Modern Medicine
关键词
高龄食管癌
三切口手术
可行性
安全性
Elderly patients with esophageal carcinoma
Three incision operation
Feasibility
Safety
