摘要
目的分析微创食管癌根治术与常规开胸手术治疗食管癌的疗效,讨论何种治疗手段更具有价值。方法选取2015年6月至2016年6月于我院进行手术治疗的40例食管癌患者为研究对象,根据手术方法分为对照组(20例,采用常规开胸手术治疗)和观察组(20例,采用微创食管癌根治术)。对比两组手术情况、术后并发症发生率以及无瘤生存率的变化差异。结果本研究中,观察组的术后疼痛、术中出血量、术后引流量、术后进食时间低于对照组,淋巴结清扫数量、手术时间高于对照组,差异均具有统计学意义(P<0.05);术后感染发生率低于对照组差异具有统计学意义(P<0.05),吻合口瘘、乳糜胸发生率与对照组无明显差异(P>0.05);术后无瘤生存率高于对照组(P<0.05)。结论与开胸手术相比,微创食管癌根治术治疗食管癌效果显著,提高了淋巴结清扫率与无瘤生存率,安全可靠。该手术对医疗器械依赖性更高,且手术操作复杂,手术时间较长,应根据患者实际情况选择手术方式。
Objective Analyze the efficacy of minimally invasive esophageal cancer radical surgery and conventional thoracotomy for the treatment of esophageal cancer,and discuss which treatment method is more valuable.Methods Forty patients with esophageal cancer who underwent surgical treatment in our hospital from June 2015 to June 2016 were selected as the research object.They were divided into a control group(twenty cases,treated with conventional thoracotomy)and an observation group(twenty cases,the use of minimally invasive radical esophageal cancer surgery).Compare the difference of operation situation,postoperative complication rate and tumor-free survival rate between the two groups.Results In this study,the postoperative pain,intraoperative blood loss,postoperative drainage,and postoperative feeding time of the observation group were lower than those of the control group,and the number of lymph node dissections and operation time were higher than the control group.The differences were statistically significant(P<0.05);the incidence of postoperative infection was lower than that of the control group(P<0.05),and the incidence of anastomotic leakage and chylothorax was not significantly different from that of the control group(P>0.05);postoperative tumor-free survival rate Higher than the control group(P<0.05).Conclusion Compared with thoracotomy,minimally invasive esophageal cancer radical surgery has a significant effect on the treatment of esophageal cancer,improves the lymph node dissection rate and tumor-free survival rate,and is safe and reliable.The operation is more dependent on medical devices,and the operation is complicated and the operation time is longer.The operation method should be selected according to the actual situation of the patient.
作者
林贤宾
LIN Xianbin(The Second Affiliated Hospital of Fujian Medical University,Quanzhou 362000,China)
出处
《中国医药指南》
2020年第22期87-88,共2页
Guide of China Medicine
关键词
食管癌
微创食管癌根治术
常规开胸手术
淋巴结清扫
术后无瘤生存
Esophageal cancer
Minimally invasive resection of esophageal cancer
Conventional thoracotomy
Lymph node dissection
Tumor-free survival after surgery
