摘要
目的比较经左侧胸部单切口与颈一右胸一腹三切口行食管癌根治术中的淋巴结清扫情况，探讨食管癌手术中合理的淋巴结切除范围。方法回顾性分析72例行食管癌根治手术患者的临床资料，根据手术方式分为左胸单切口组32例和三切口组40例，对两组手术时间、淋巴结清扫数目、留置引流管时间、住院天数、淋巴结清扫状况和术后并发症发生率进行分析。结果左胸单切口组与三切口组在手术时间[（225．44±11．98）min与（265．42±13．15）min]、淋巴结清扫数目[（8．031±1．153）枚与（11．82±1．138）枚]、住院时间[（13．212±1．294）d与（15．691±1．404）d]等方面差异均有统计学意义（t=24．201、25．302、14．010，均P〈0．05）；两组胸腔引流管留置时间和术后主要并发症发生率等差异均无统计学意（均P〉0．05）。结论两种术式食管癌根治术在手术难度、风险、疗效及并发症发生率等方面有着各自特点，应根据病变情况及身体承受能力灵活选择手术方式，以达到最佳治疗效果。
Objective To compare the lymph node dissection of left chest single incision and neck-right chest-abdomen incision in esophageal cancer surgery, and to explore the reasonable range of lymph node dissection in esophageal cancer surgery. Methods We retrospectively analyzed the clinical data of 72 patients with esophageal cancer radical surgery. According to the surgical approach, the patients were divided into left chest single-incision group （32 cases） and three-incision group （40 cases）. The surgery time, number of lymph node resected, drainage tube time, length of hospital stay, lymph node dissection status and incidence of postoperative complications were analyzed. Results In left chest single-incision group and three-incision group, the operative time [ （ 225.44 ±11.98 ） min vs （265.42 ± 13.15 ） min ], lymph node dissection number [ （ 8.031± 1. 153 ） vs （ 11.821± 1. 138 ） ], length of stay [ （ 13. 212 ±1. 294 ） d vs （ 15.691 ±1. 404） d ] and other aspects had statistically significant differences （ t = 24.201, 25. 302,14. 010, all P 〈 0.05 ）. There were no significant differences between two groups in the chest tube indwelling time and the incidence of postoperative complications （ P 〉 0.05 ）. Conclusion Both surgical radical resection of esophageal cancer have their own characteristics in terms of surgical difficulty, risks, efficacy and complications. In clinical, these must be carefully evaluated in patients with lesions and body affordability flexibility to choose the surgi- cal approach in order to achieve the best therapeutic effect.
出处
《中国基层医药》
CAS
2013年第22期3413-3415,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
食管肿瘤
左胸单切口
三切口
淋巴结切除术
Esophageal neoplasms
Single left chest incision
Three-incision
Lymph node dissection
