CAJ | 학술논문

目的：比较全电视胸腔镜（VATS ）下食管切除术治疗中、上段Ⅰ、Ⅱ、Ⅲa期食管癌与传统开放式食管切除术的手术效果。方法收集因食管癌行食管切除术的61例患者手术资料，其中VATS下行食管切除术治疗食管胸中、上段癌32例（VATS组），同期完成的传统开放式食管切除术29例（对照组），比较两组患者的围手术期指标及术后并发症发生情况。结果 VATS组术中出血量少于对照组，术后第1日引流量、术后引流总量、胸腔闭式引流时间均比对照组明显缩短，两组比较差异均有统计学意义（P＜0.05）；两组在手术时间、淋巴结清扫个数比较差异无统计学意义（P＞0.05）。结论对于Ⅰ、Ⅱ、Ⅲa期食管癌，采用VATS下食管切除术的创伤及并发症较少，优于传统开放式手术。
목적：비교전전시흉강경（VATS ）하식관절제술치료중、상단Ⅰ、Ⅱ、Ⅲa기식관암여전통개방식식관절제술적수술효과。방법수집인식관암행식관절제술적61례환자수술자료，기중VATS하행식관절제술치료식관흉중、상단암32례（VATS조），동기완성적전통개방식식관절제술29례（대조조），비교량조환자적위수술기지표급술후병발증발생정황。결과 VATS조술중출혈량소우대조조，술후제1일인류량、술후인류총량、흉강폐식인류시간균비대조조명현축단，량조비교차이균유통계학의의（P＜0.05）；량조재수술시간、림파결청소개수비교차이무통계학의의（P＞0.05）。결론대우Ⅰ、Ⅱ、Ⅲa기식관암，채용VATS하식관절제술적창상급병발증교소，우우전통개방식수술。
Objective To compare the therapeutic effects between video-assisted thoracic surgery (VATS)and thoractomy for radical operation in patients with stage I、II and IIIa esophageal cancer. Methods Sixty-one patients with stage I、II and IIIa esophageal cancer were retrospectively reviewed,who underwent with either VATS radical operation (VATS group,n=32)or standard radical operation via thoractomy (open group,n=29). Operative characteristics and postoperative courses were compared between two groups. Re-sults In two groups,there were no significant differences in the number of meditational Lymph node resection and the operation time are (P>0.05 ). The total volume of thoracic cavity drainage after operation,the volume of blood loss,the time of postoperative chest tube and the complications,were statistically significant between two groups (P<0.05 ). Conclusion Complete video-assisted thoracic surgery is safe and effective in patients with stage I、II and IIIa esophageal cancer.