CAJ | 학술논문

目的比较胸腹腔镜联合行食管癌根治术与传统手术食管癌根治术的临床疗效.方法比较70例接受腔镜联合食管癌根治术与80例接受传统手术食管癌根治术患者的一般情况、病理学资料、术后并发症、复发或转移比例等方面的差异.结果腔镜联合组手术时间长于传统手术组,但术中出血量、术后胸腔引流液总量及术后吗啡用量少于传统手术组(P ＜0.05或P＜0.01).两组术后住院时间差异无统计学意义(P＞0.05).腔镜联合组切除食管标本长度、肿瘤近端切缘长度长于传统手术组,但前者差异无统计学意义(P＞0.05),后者差异有统计学意义(P＜0.05).两组淋巴结清扫数目及术后并发症和切口种植致局部复发发生率差异均无统计学意义(P＞0.05).腔镜联合组术后反流性胃炎发生率7.1％,传统手术组45.0％,差异有统计学意义(P＜0.01).两组术后同期复发转移率比较差异无统计学意义(P＞0.05).结论胸腹腔镜联合食管癌根治术具有与传统开胸癌根治术相同的治疗效果,且创伤小,恢复快.
목적 비교흉복강경연합행식관암근치술여전통수술식관암근치술적림상료효.방법 비교70례접수강경연합식관암근치술여80례접수전통수술식관암근치술환자적일반정황、병이학자료、술후병발증、복발혹전이비례등방면적차이.결과 강경연합조수술시간장우전통수술조,단술중출혈량、술후흉강인류액총량급술후마배용량소우전통수술조(P ＜0.05혹P＜0.01).량조술후주원시간차이무통계학의의(P＞0.05).강경연합조절제식관표본장도、종류근단절연장도장우전통수술조,단전자차이무통계학의의(P＞0.05),후자차이유통계학의의(P＜0.05).량조림파결청소수목급술후병발증화절구충식치국부복발발생솔차이균무통계학의의(P＞0.05).강경연합조술후반류성위염발생솔7.1％,전통수술조45.0％,차이유통계학의의(P＜0.01).량조술후동기복발전이솔비교차이무통계학의의(P＞0.05).결론 흉복강경연합식관암근치술구유여전통개흉암근치술상동적치료효과,차창상소,회복쾌.
Objective To compare the clinical therapeutic effect of radical resection of esophageal carcinoma under combination of thoracoscopy and laparoscopy (RECTL) with traditional radical resection of esophageal carcinoma(TREC).Methods 80 patients receiving RECTL and 80 patients receiving TREC were chosen in our hospital.The general conditions during operation,pathologic data,postoperative complications and recurrence or metastasis rates were compared between two groups.Results Compared with TREC group,RECTL group had longer operation time 、less bleeding、less postoperative chest drainage liquid amount and less postoperative morphine administration (P ＜ 0.05 or P ＜ 0.01).The postoperative hospital stays were not statistically different between the two groups(P ＞0.05).The length of resected esophagus specimen and tumor near end cutting edge length in RECTL group are longer than that in TREC group,but with the former no statistically different(P ＞0.05) and the latter statistically different(P ＜ 0.05).There were no statistical differences about the number of dissected lymph nodes and the incidence of complications and local recurrence by cut plant between the two groups(P ＞ 0.05).The incidence of postoperative reflux gastritis was 7.1％ in RECTL group and 45 ％ in TREC group,with significantly statistical difference(P ＜0.01).The two groups had similar recurrence or metastasis rate(P ＞ 0.05).Conclusion Radical resection of esophageal carcinoma under combination of thoracoscopy and laparoscopy,with small wound and early recovery,has the same effect as traditional operational resection of esophageal carcinoma.