摘要
目的探讨在食管癌手术中电视胸腔镜与腹腔镜联合的可行性。方法 175例食管癌患者根据手术方式分为三组:A组,100例,电视胸腔镜联合腹腔镜食管癌根治术颈部吻合;B组,50例,实施开放三切口手术;C组,25例,胸腔镜联合腹部正中开放切口颈部吻合组。比较三组的疗效。结果 A组、C组手术时间短于B组(P<0.05)。A组术中出血量少于B组与C组(P<0.05)。A组、C组术后疼痛轻于B组。结论联合应用电视胸腔镜与腹腔镜实施食管癌根治术疗效可靠,术后恢复较常规手术者快。
Objective To explore the feasibility of combined use of video-assisted thoracoscopy （VATS） and laparoscopy （LC） in esophageal surgery. Methods A total of 175 patients with esophageal cancer was assigned into three groups of A（combined use of VATS and LC, 100 cases）, B （conventional open surgery, 50 cases） and C（VATS plus middle abdominal incision, 25 cases）. Cervical anastomosis was performed in all cases and clinical results were compared among three groups. Results The operative time was shorter in groups of A and C than that in group B （P〈0. 05）. Blood loss during operation was less in group A than that in groups of B and C （P〈0. 05）. The severity of postoperative pain was slighter in groups of A and C than that in group 13. Conclusion Combined use of VATS and LC for radical esophageal surgery is reliable in effectiveness with less time for postoperative recovery than that conventional surgery.
出处
《江苏医药》
CAS
北大核心
2014年第3期303-305,共3页
Jiangsu Medical Journal
关键词
电视胸腔镜
腹腔镜
食管癌
Video-assisted thoracoscopy
Laparoscopy
Esophageal cancer
