中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
23期
6-8
,共3页
食管癌%胸腔镜手术%疗效%肿瘤分期
食管癌%胸腔鏡手術%療效%腫瘤分期
식관암%흉강경수술%료효%종류분기
Esophageal carcinoma%Video-assisted thoracic surgery%Therapeutic effects%Neoplasm staging
目的 探讨全胸腔镜手术(VATS)下食管癌根治术治疗中、上段Ⅰ、Ⅱ期食管癌与传统食管癌根治术的疗效.方法 选择2009年2月至2011年11月接受食管癌根治术治疗的中、上段Ⅰ、Ⅱ期食管癌患者52例,按照随机数字表法分为两组,每组26例.观察组行VATS下食管癌根治术,对照组行传统食管癌根治术.对比两组术前、术中、术后近期情况.结果 观察组胸部手术时间[(116±41) min]、胸部出血量[(125±35) ml]、术后第1天胸腔引流量[(335±175)ml]、术后胸导管保留时间[(7.0±2.5)d]、术后总引流量[(1290±525) ml]、术后36 h VAS评分[(3.2±1.3)分]、术后72 h右上肢功能恢复[(5.0±2.6)cm]与对照组[分别为(154±25) min、(295±105) ml、(490±105) ml、(10.8±2.2)d、(1785±749)ml、(7.5±1.2)分、(14.3±2.1)cm]比较差异有统计学意义(P ＜0.01或＜0.05).两组淋巴结清扫个数、住院时间、住院总费用比较差异无统计学意义(P＞0.05).结论 VATS与开胸食管癌根治术在治疗中、上段Ⅰ、Ⅱ期食管癌具有相似的完全性和彻底性,但VATS较开胸手术的术中胸部出血量少,术后胸腔引流量少,术后患者疼痛轻微,上肢活动恢复好.
目的 探討全胸腔鏡手術(VATS)下食管癌根治術治療中、上段Ⅰ、Ⅱ期食管癌與傳統食管癌根治術的療效.方法 選擇2009年2月至2011年11月接受食管癌根治術治療的中、上段Ⅰ、Ⅱ期食管癌患者52例,按照隨機數字錶法分為兩組,每組26例.觀察組行VATS下食管癌根治術,對照組行傳統食管癌根治術.對比兩組術前、術中、術後近期情況.結果 觀察組胸部手術時間[(116±41) min]、胸部齣血量[(125±35) ml]、術後第1天胸腔引流量[(335±175)ml]、術後胸導管保留時間[(7.0±2.5)d]、術後總引流量[(1290±525) ml]、術後36 h VAS評分[(3.2±1.3)分]、術後72 h右上肢功能恢複[(5.0±2.6)cm]與對照組[分彆為(154±25) min、(295±105) ml、(490±105) ml、(10.8±2.2)d、(1785±749)ml、(7.5±1.2)分、(14.3±2.1)cm]比較差異有統計學意義(P ＜0.01或＜0.05).兩組淋巴結清掃箇數、住院時間、住院總費用比較差異無統計學意義(P＞0.05).結論 VATS與開胸食管癌根治術在治療中、上段Ⅰ、Ⅱ期食管癌具有相似的完全性和徹底性,但VATS較開胸手術的術中胸部齣血量少,術後胸腔引流量少,術後患者疼痛輕微,上肢活動恢複好.
목적 탐토전흉강경수술(VATS)하식관암근치술치료중、상단Ⅰ、Ⅱ기식관암여전통식관암근치술적료효.방법 선택2009년2월지2011년11월접수식관암근치술치료적중、상단Ⅰ、Ⅱ기식관암환자52례,안조수궤수자표법분위량조,매조26례.관찰조행VATS하식관암근치술,대조조행전통식관암근치술.대비량조술전、술중、술후근기정황.결과 관찰조흉부수술시간[(116±41) min]、흉부출혈량[(125±35) ml]、술후제1천흉강인류량[(335±175)ml]、술후흉도관보류시간[(7.0±2.5)d]、술후총인류량[(1290±525) ml]、술후36 h VAS평분[(3.2±1.3)분]、술후72 h우상지공능회복[(5.0±2.6)cm]여대조조[분별위(154±25) min、(295±105) ml、(490±105) ml、(10.8±2.2)d、(1785±749)ml、(7.5±1.2)분、(14.3±2.1)cm]비교차이유통계학의의(P ＜0.01혹＜0.05).량조림파결청소개수、주원시간、주원총비용비교차이무통계학의의(P＞0.05).결론 VATS여개흉식관암근치술재치료중、상단Ⅰ、Ⅱ기식관암구유상사적완전성화철저성,단VATS교개흉수술적술중흉부출혈량소,술후흉강인류량소,술후환자동통경미,상지활동회복호.
Objective To compare the therapeutic effects between video-assisted thoracic surgery (VATS) and thoractomy for radical operation in patients with stage Ⅰ-Ⅱ esophageal cancer.Methods Retrospectively reviewed 52 patients with stage Ⅰ-Ⅱ esophageal cancer,underwent either VATS radical operation(VATS group,n =26) or standard radical operation via thoractomy (open group,n =26) form February 2009 to November 2011.Patients' operative characteristics and postoperative courses were comparable between the two groups.Results The operative time was(116 ±41)min in the VATS group and(154 ± 25)min in the open group (P ＜ O.05) ;In the two groups,the number of mediastinal lymphonode resection was (12.0 ± 8.0) and (17.2 ± 2.6) (P ＞ 0.05),blood loss was (125 ± 35) ml and(295 ± 105) ml,the amount of thoracic cavity drainage after operation was(1290 ± 525)ml and (490 ± 105) ml,the time of postoperative chest tube was (7.0 ± 2.5) d and (10.8 ± 2.2) d (P ＜ 0.05),the postoperative 36 h pain (VAS) score was (3.2 ± 1.3) and (7.5 ± 1.2) (P ＜ 0.01),the postoperative locomotor activity of right upper extremity was (5.0 ± 2.6) cm and (14.3 ± 2.1) cm (P ＜ 0.01).Conclusions Compared with thoractomy,VATS thoracic surgery for patients with stage Ⅰ-Ⅱ esophageal cancer appears to be as effective but less morbid.
