T3N1M0以下食管癌应用俯卧位和左侧卧位胸腔镜食管切除术的疗效对比

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Abstract Objective To compare the treatment effect of prone position and left lateral position thoracoscopic esophagectomy applied in esophageal cancer under T3N1M0.Methods From January 2013 and September 2015,78 patients with esophageal cancer under T3N1M0of clinical stages treated in Dalian Central Hospital were selected and they were divided into group A (prone position thoracoscopic esophagectomy)and group B (left lateral position thoracoscopic esophagectomy)according to the random number table method,and there were 39 cases in each group.Surgical related indexes,the incidence of postoperative complications and prognostic indicators in patients between the two groups were compared.Results The operation time of group A([215.2±16.1]min)was obviously shorter than that of group B([286.8±32.6]min),the amount of bleeding during operation of group A([278.5±21.5]ml)was obviously fewer than that of group B([357.7±33.0]ml),the number of lymph nodes of group A([8.5±1.2])was obviously more than that of group B([6.2±0.8]),the differences were statistically significant(P＜0.05).The incidence of postoperative complications and the fatality rate in group A were not significantly different from that in group B(P＞0.05).Conclusion For esophageal cancer under T3N1M0,surgical outcomes are similar between prone position and left lateral position thoracoscopic esophagectomy,but the operation time of prone position operation is shorter and it is more favorable for cleaning the lymph nodes.

Key words： Esophageal neoplasms Thoracoscopic surgery Prone position Left lateral position

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	LI Guan-ran
	FANG Yuan
	WANG Yang
	ZHANG Qing-hua

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LI Guan-ran,FANG Yuan,WANG Yang, et al. Curative efficacy comparison of prone position and left lateral position thoracoscopic esophagectomy applied in esophageal cancer under T3N1M0[J]. 中国当代医药, 2018, 25(1): 34-36转40.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I1/34

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