CAJ | 학술논문

目的：对比分析胸腹腔镜联合食管癌切除术与三切口食管癌切除术的临床效果。方法整群选取2013年1月—2014年12月该院收治的食管癌患者128例，根据术式将患者分为常规三切口组(56例)和胸腹腔镜联合组(72例)，常规三切口组患者给予常规三切口食管癌切除手术，胸腹腔镜联合组患者进行胸腔镜联合腹腔镜下食管癌切除术。结果常规三切口组患者手术时间，术中出血量，术后引流总量，疼痛评分高于胸腹腔镜联合组，且差异有统计学意义(P<0.05)，住院费用胸腹腔镜联合组较高，且差异有统计学意义(P<0.05)。结论胸腹腔镜联合食管癌切除术效果优于传统三切口食管癌切除术，但费用较高。
목적：대비분석흉복강경연합식관암절제술여삼절구식관암절제술적림상효과。방법정군선취2013년1월—2014년12월해원수치적식관암환자128례，근거술식장환자분위상규삼절구조(56례)화흉복강경연합조(72례)，상규삼절구조환자급여상규삼절구식관암절제수술，흉복강경연합조환자진행흉강경연합복강경하식관암절제술。결과상규삼절구조환자수술시간，술중출혈량，술후인류총량，동통평분고우흉복강경연합조，차차이유통계학의의(P<0.05)，주원비용흉복강경연합조교고，차차이유통계학의의(P<0.05)。결론흉복강경연합식관암절제술효과우우전통삼절구식관암절제술，단비용교고。
Objective To compare the efficacy between thoracoscopic and laparoscopic esophagectomy and three-incision esophagectomy for esophageal carcinoma. Methods 128 patients with esophageal carcinoma admitted to our hospital between Jan-uary 2013 and December 2014 were assigned, according to operation modes, to conventional three-incision group in which the 56 patients were given three-incision esophagectomy, and thoracoscopy and laparoscopy group in which thoracoscopic and laparo-scopic esophagectomy was performed for the 72 patients. Results The operation duration, intraoperative blood loss, postoperative drainage volume and pain scores were longer or higher in the conventional three-incision group than in the thoracoscopy and la-paroscopy group, and the difference were statistically significant(P<0.05);the hospitalization expenses in the thoracoscopy and la-paroscopy group was higher than that in the conventional three-incision group, and the difference was statistically significant (P<0.05). Conclusion Compared with three-incision esophagectomy, thoracoscopic and laparoscopic esophagectomy for esophageal carcinoma can provide better efficacy but higher hospitalization expenses.