CAJ | 학술논문

目的：探讨小切口联合管状胃成形食管癌根治术的临床疗效。方法对本院2009年10月-2012年3月间150例小切口管状胃成形食管癌根治术患者的临床资料进行回顾性分析，统计手术时间、术中出血量、术后并发症及术后肺功能的变化，对该术式进行评价。结果150例食管癌根治切除率为100%；手术切口长度(13.4±2.8) cm；手术时间(213±28) min；术中出血量(340±207.2) ml；术后并发症发生率为10.5%，其中肺部并发症占据第1位，为4%；术后1个月用力肺活量(2.73±0.85) L，第1秒用力呼气容积(1.91±0.32) L，与术前相比无明显下降(P＞0.05)。结论与传统手术相比，小切口联合管状胃食管癌根治术具有创伤小、并发症少、操作简单等优点，但需严格掌握适应证。
목적：탐토소절구연합관상위성형식관암근치술적림상료효。방법대본원2009년10월-2012년3월간150례소절구관상위성형식관암근치술환자적림상자료진행회고성분석，통계수술시간、술중출혈량、술후병발증급술후폐공능적변화，대해술식진행평개。결과150례식관암근치절제솔위100%；수술절구장도(13.4±2.8) cm；수술시간(213±28) min；술중출혈량(340±207.2) ml；술후병발증발생솔위10.5%，기중폐부병발증점거제1위，위4%；술후1개월용력폐활량(2.73±0.85) L，제1초용력호기용적(1.91±0.32) L，여술전상비무명현하강(P＞0.05)。결론여전통수술상비，소절구연합관상위식관암근치술구유창상소、병발증소、조작간단등우점，단수엄격장악괄응증。
Objective To study the clinical outcome of radical gastroesophagetomy with small incision in patients with tubular gastroesophageal cancer. Methods Clinical data about 150 gastrogastroesophageal cancer patients who underwent radical gastroesophagetomy with a small incision in our hospital from October 2009 to March 2012 were retrospectively analyzed. The procedure was assessed according to the operation time, intraoperative blood loss, postoperative complications and pulmonary function. Results The radical resection rate of gastroesophageal cancer was 100%. The incision was (13.4±2.8) cm long. The operation time was (213±28) min. The intraoperative blood loss was (340±207.2) ml. The incidence of postoperative complications was 10.5%. The incidence of pulmonary complication was the highest, accounting for 4%. The forced vital capacity and expiratory volume were (2.73±0.85) L and (1.91±0.32) L, respectively, 1 month and 1 second after operation, which were not significantly lower than those before operation (P > 0.05). Conclusion Radical gastroesophagectomy with a small incision is characterized by less traumas, less complications and easy to perform as compared with traditional surgery, but its indications should be strictly taken into consideration.