胸腹腔镜联合手术治疗老年食管癌的临床效果及安全性观察

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Abstract Objective To investigate the short-term efficacy and safety of thoracoscopy and laparoscopy combined with surgery in the treatment of elderly patients with esophageal cancer.Methods 76 elderly patients with esophageal cancer treated in our hospital from January 2015 to April 2016 were selected as the research object and were randomly divided into the observation group and the control group,38 cases in each group.Patients in the control group were treated with conventional open thoracic esophageal cancer radical surgery while patients in the observation group were treated with thoracic laparoscopic surgery combined with esophageal cancer radical surgery.The condition of operation,complications and prognosis of the two groups were compared.Results There were no significant differences in the number of lymph node dissection and operation time between the two groups(P＞0.05).The amount of intraoperative bleeding in the observation group was less than that in the control group,and the extubation time in the observation group was shorter than that in the control group,with significant differences(P＜0.01).The incidence rate of complication in the observation group after operation was 13.16%,which was lower than that in the control group(28.95%),with significant difference(P＜0.05).The postoperative lymph node metastasis rate,reoperation rate,postoperative 6 and 9 months cumulative mortality rate were 5.26%,2.63%,2.63%,5.26%in the observation group,compared with the control group (2.63%,0.00%,0.00%, 2.63%),the differences were not statistically significant(P＞0.05).Conclusion The effect of the application of thoracoscopy and laparoscopy combined with surgery in the treatment of elderly patients with esophageal cancer is definite and the wound is small and the incidence of postoperative complications is low with good prognosis,it is worth promoting.

Key words： Thoracoscope Laparoscope Esophageal cancer Old age

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SU Wen-jie. Clinical effect and safety observation of thoracoscopy and laparoscopy combined with surgery in the treatment of elderly patients with esophageal cancer[J]. 中国当代医药, 2017, 24(5): 55-57.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I5/55

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