开展胸腹腔镜联合食管癌根治术初期临床经验总结

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Abstract Objective To summarize the relevant clinical experience by comparing the intraoperative and postoperative data of thoracic laparoscopy combined with radical resection of esophageal cancer surgery and traditional thoracotomy.Methods The clinical data of 69 patients with esophageal cancer admitted to our hospital from May 2017 to May 2018 were retrospectively analyzed.They were divided into minimally invasive group(28 cases)and open group(41 cases)according to different surgical methods.Patients in the minimally invasive group underwent thoracic laparoscopy combined with radical resection of esophageal cancer surgery,and patients in the open group underwent traditional thoracotomy.The intraoperative blood loss,operation time,number of lymph node dissection,volume of postoperative thoracic drainage,removal time of thoracic drainage tube,postoperative hospitalization time and total incidence rate of postoperative pulmonary complications were compared between the two groups.Results The operation time in the minimally invasive group was longer than that in the open group,the intraoperative blood loss and postoperative thoracic drainage volume were less than those in the open group,the number of lymph node dissection was more than that in the open group,and the removal time of thoracic drainage tube was shorter than that in the open group,with statistically significant differences(P＜0.05).There was no significant difference in postoperative hospitalization time between the two groups(P＞0.05).The total incidence rate of postoperative pulmonary complications in the minimally invasive group was 31.7%,which was significantly lower than that in the open group(7.1%),and the difference was statistically significant(P＜0.05).Conclusion The effect of thoracic laparoscopy combined with radical resection of esophageal cancer surgery is significantly better than that of traditional thoracotomy,which is worthy of widespread promotion.However,the experience of the early stage of radical surgery for minimally invasive esophageal cancer is not rich to operators.

Key words： Thoracic laparoscopy Thoracotomy Radical resection of esophageal cancer

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	YI He-qiang
	CHEN Guang-ming
	LIU Hao

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YI He-qiang,CHEN Guang-ming,LIU Hao. Summary of clinical experience in the initial stage of thoracic laparoscopy combined with radical resection of esophageal cancer surgery[J]. 中国当代医药, 2019, 26(17): 57-60.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I17/57

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