CAJ | 학술논문

目的：观察胸腹腔镜联合Ivor Lewis食管癌根治术的临床效果。方法选取食管癌患者76例，将其随机分为观察组（胸腹腔镜联合Ivor Lewis根治术）与对照组（传统Ivor Lewis根治术），比较两组治疗效果。结果两组患者手术时间、术中出血量及淋巴结清扫数目等方面比较，P＞0.05，差异不具有统计学意义。观察组术后下床活动时间、肛门排气时间均少于对照组，并发症发生率少于对照组，P＜0.05，差异具有统计学意义。结论胸腹腔镜联合Ivor Lewis根治术的临床效果显著。
목적：관찰흉복강경연합Ivor Lewis식관암근치술적림상효과。방법선취식관암환자76례，장기수궤분위관찰조（흉복강경연합Ivor Lewis근치술）여대조조（전통Ivor Lewis근치술），비교량조치료효과。결과량조환자수술시간、술중출혈량급림파결청소수목등방면비교，P＞0.05，차이불구유통계학의의。관찰조술후하상활동시간、항문배기시간균소우대조조，병발증발생솔소우대조조，P＜0.05，차이구유통계학의의。결론흉복강경연합Ivor Lewis근치술적림상효과현저。
Objective To observe the clinical effect on combined thoracic laparoscopic Ivor Lewis resection of esophageal cancer. Methods Selected 76 cases with esophageal cancer were randomly divided into two groups (chest laparoscopic radical surgery combined with Ivor Lewis) and the control group (traditional Ivor Lewis resection) were compared treatment effects. Results Compared with the amount of bleeding and the number of lymph node, two groups of patients with operation time, intraoperative, P>0.05, had no difference statistical significance. The observation group postoperative ambulation time, anal exhaust time were less than the control group, the complication rate was lower than the control group, P<0.05, had difference statistically signiifcance. Conclusion The clinical results of laparoscopic chest joint Ivor Lewis resection signiifcantly.