CAJ | 학술논문

目的：探讨胸、腹腔镜McKeown手术治疗食管癌的近期疗效。方法将2009年3月至2013年5月在本院胸外科行McKeown手术的食管癌患者分为胸、腹腔镜手术组(40例)和常规开放手术组(62例)，回顾性分析两组患者的围手术期临床资料并进行比较。结果胸、腹腔镜手术组术后肺部感染发生率(10%)低于常规开放手术组(27.4%)( P<0.05)，两组均无围手术期死亡病例。两组患者的手术时间，术中出血量、清扫淋巴结数量、总住院时间、吻合口瘘、喉返神经损伤、胃排空障碍、心律失常及围手术期并发症总发生率的差异无统计学意义。结论胸、腹腔镜McKeown手术创伤小，近期疗效满意，值得推广应用。
목적：탐토흉、복강경McKeown수술치료식관암적근기료효。방법장2009년3월지2013년5월재본원흉외과행McKeown수술적식관암환자분위흉、복강경수술조(40례)화상규개방수술조(62례)，회고성분석량조환자적위수술기림상자료병진행비교。결과흉、복강경수술조술후폐부감염발생솔(10%)저우상규개방수술조(27.4%)( P<0.05)，량조균무위수술기사망병례。량조환자적수술시간，술중출혈량、청소림파결수량、총주원시간、문합구루、후반신경손상、위배공장애、심률실상급위수술기병발증총발생솔적차이무통계학의의。결론흉、복강경McKeown수술창상소，근기료효만의，치득추엄응용。
Objective To explore short-term efficacy of the laparoscopic-thoracoscopic 3-hole micro-invasive esophagectomy (modified McKeown MIE). Methods Patients who accepted McKeown esophagecto-my for esophageal cancer in our department in the period from March 2009 to May 2013, were divided into modified McKeown MIE group (40 cases) and conventional open surgery group (62 cases). Perioperative clini-cal data and short-term outcomes of the patients were retrospectively analyzed for further comparison. Results The incidence of postoperative pulmonary infection in modified McKeown MIE group (10%) was significantly lower than conventional open surgery group (27.4%) (P<0.05). There was no operative death in both groups. There were no significant differences between two groups concerning operative time, operative blood loss, number of lymph node dissection, length of stay, the incidence of anastomotic leak, recurrent laryngeal nerve injury, delayed gastric emptying, arrhythmias and the overall incidence of postoperative complications. Con-clusion The modified McKeown MIE approach is an effective surgical method combing minimally invasive operation with radical treatment of esophageal carcinoma within satisfied short-term effects. It is worthy of clinical application.