CAJ | 학술논문

目的比较胸腔镜与开胸手术治疗早期食管癌的临床效果及安全性。方法回顾分析采用胸腔镜下早期食管癌根治术患者40例(观察组)和传统食管癌根治术患者40例(对照组)的临床资料。结果观察组患者手术时间长于对照组，但是术中出血量、术后住院时间、胸液引流时间及胸液引流量等方面优于对照组，差异有统计学意义(P<0.05)。两组患者在淋巴结清扫数量、术后并发症发生率，以及术后1年复发或转移率、病死率、总生存率等方面比较，差异无统计学意义(P>0.05)。结论胸腔镜下早期食管癌根治术临床疗效可靠，手术创伤小，术后恢复快。
목적비교흉강경여개흉수술치료조기식관암적림상효과급안전성。방법회고분석채용흉강경하조기식관암근치술환자40례(관찰조)화전통식관암근치술환자40례(대조조)적림상자료。결과관찰조환자수술시간장우대조조，단시술중출혈량、술후주원시간、흉액인류시간급흉액인류량등방면우우대조조，차이유통계학의의(P<0.05)。량조환자재림파결청소수량、술후병발증발생솔，이급술후1년복발혹전이솔、병사솔、총생존솔등방면비교，차이무통계학의의(P>0.05)。결론흉강경하조기식관암근치술림상료효가고，수술창상소，술후회복쾌。
Objective To compare the clinical efficacy and safety of thoracoscopic and thoracic surgery for early esopha-geal cancer.Methods A retrospective analysis was performed, 40 patients with early esophageal carcinoma ( study group) wre undergoing thoracoscopic surgery and other 40 patients with esophageal cancer surgery ( control group) were undergoing traditional esophageal resection.Results The operationg time were longer in study group than control group, but in terms of blood loss, post-operative hospital stay, time and volume of pleural fluid drainage,the study group were better than the control group, the difference was statistically significant (P<0.05).In terms of the number of lymph node dissection, the incidence of postoperative complica-tions, and postoperative recurrence or metastasis 1 year, mortality, overall survival,the difference were not statistically significant in two groups(P> 0.05).Conclusion Thoracoscopic resection for early esophageal cancer,the clinical efficacy is reliable,less surgical trauma, faster postoperative recovery.