中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2015年
3期
49-50
,共2页
胸腔镜%腹腔镜%食管肿瘤%食管切除术
胸腔鏡%腹腔鏡%食管腫瘤%食管切除術
흉강경%복강경%식관종류%식관절제술
Thoracoscopy%Laparoscopy%Esophageal neoplasms%Esophagectomy
目的：探讨胸腹腔镜联合下食管癌切除术较三切口手术具有优越性。方法施行胸腹腔镜联合下食管癌切除术42例（研究组），同期施行常规三切口手术51例（对照组），两组患者均为I、Ⅱ期食管癌。比较两组术中及术后近期情况。结果观察研究组及对照组总失血量[分别为（155.24±18.56）mL，（265.32±38.42）mL]；术后首日胸液量[（214±130）mL，（492±174）mL]；胸腔引流管保留时间[（6.12±2.15）d，（10.25±2.69）d]；术后36h视觉疼痛模拟评分（VAS）[（5.08±4.52）分，（15.36±9.74）分]；术后住院天数[（9.3±5.1）d，（15.8±5.5）d]，比较差异均有统计学意义（P<0.01或P<0.05）；而手术时间、淋巴结清扫数及住院总费用等指标差异无统计学意义（P>0.05）。结论胸腹腔镜联合食管癌切除术具有创伤小、恢复快、并发症少等优点。
目的：探討胸腹腔鏡聯閤下食管癌切除術較三切口手術具有優越性。方法施行胸腹腔鏡聯閤下食管癌切除術42例（研究組），同期施行常規三切口手術51例（對照組），兩組患者均為I、Ⅱ期食管癌。比較兩組術中及術後近期情況。結果觀察研究組及對照組總失血量[分彆為（155.24±18.56）mL，（265.32±38.42）mL]；術後首日胸液量[（214±130）mL，（492±174）mL]；胸腔引流管保留時間[（6.12±2.15）d，（10.25±2.69）d]；術後36h視覺疼痛模擬評分（VAS）[（5.08±4.52）分，（15.36±9.74）分]；術後住院天數[（9.3±5.1）d，（15.8±5.5）d]，比較差異均有統計學意義（P<0.01或P<0.05）；而手術時間、淋巴結清掃數及住院總費用等指標差異無統計學意義（P>0.05）。結論胸腹腔鏡聯閤食管癌切除術具有創傷小、恢複快、併髮癥少等優點。
목적：탐토흉복강경연합하식관암절제술교삼절구수술구유우월성。방법시행흉복강경연합하식관암절제술42례（연구조），동기시행상규삼절구수술51례（대조조），량조환자균위I、Ⅱ기식관암。비교량조술중급술후근기정황。결과관찰연구조급대조조총실혈량[분별위（155.24±18.56）mL，（265.32±38.42）mL]；술후수일흉액량[（214±130）mL，（492±174）mL]；흉강인류관보류시간[（6.12±2.15）d，（10.25±2.69）d]；술후36h시각동통모의평분（VAS）[（5.08±4.52）분，（15.36±9.74）분]；술후주원천수[（9.3±5.1）d，（15.8±5.5）d]，비교차이균유통계학의의（P<0.01혹P<0.05）；이수술시간、림파결청소수급주원총비용등지표차이무통계학의의（P>0.05）。결론흉복강경연합식관암절제술구유창상소、회복쾌、병발증소등우점。
Objective To show advantage of undergoing thoracoscopic and laparoscopic esophagectomy compared with three incisions for the esophagectomy.Methods 42 cases received thoracoscopic and laparoscopic esophagectomy (test group), during the same period, 51 cases underwent three incisions for the esophagectomy (control group), the patients distribution by stage according to the UICC classiifcation was stage I and stage II. The patients' operative and post-operative index and characteristics were compared between two groups.ResultsThe mean total operating blood loss was(155.24 ± 18.56)mL for test group and(265.32±38.42)mL for control group; The mean chest tube drainage was(214±130)mL for test group and(492±174)mL for control group in the ifst day after operation; The mean time of postoperative chest tube was(6.12 ±2.15)d for test group and(10.25 ± 2.69)d for control group; The mean postoperative 36h visual analogue scale (VAS) was (5.08±4.52)scores for test group and(15.36± 9.74)scores for control group;The mean postoperative hospitalization days was (9.3±5.1)d for test group and(15.8±5.5)mL for control group, statistically signiifcant differences in two groups(P<0.01 or <0.05); The thoracic operating time, the lymph node dissection number, the total cost of hospital between were no statistically signiifcant differences in two groups(P>0.05).Conclusion Minimally invasive esophagectomy for esophageal cancer can minimus trauma,speed up recovery,reduce post-operative complications etc.
