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目的比较胸腹腔镜联合食管癌根治术与传统开胸食管癌根治术的效果。方法选取接受食管癌根治术的120例患者,根据不同手术方法分为两组,每组60例。对照组给予传统开胸手术,观察组实施胸腹腔镜联合手术。比较两组的疗效。结果两组手术用时及清扫淋巴结数目比较,差异均无统计学意义(P>0.05)。观察组术中出血量及术后24 h胸腔引流量、留置胸管时间、并发症发生率和住院时间均少于对照组,差异均有统计学意义(P<0.05)。结论胸腹腔镜联合食管癌根治术与传统开胸手术均可有效对区域淋巴结进行清扫。但前者未明显增加手术时间,且创伤小、术中出血量少、术后患者恢复快、住院时间短,疗效满意。
Objective To compare the effect of thoracotomy combined with radical mastectomy for esophageal cancer and traditional open radical thoracotomy for esophageal cancer. Methods A total of 120 patients undergoing radical resection of esophageal cancer were divided into two groups according to different surgical methods, 60 cases in each group. The control group was given conventional thoracotomy, and the observation group underwent thoraco-laparoscopic surgery. Compare the curative effect of two groups. Results There was no significant difference between the two groups in the time of operation and the number of lymph nodes dissected (P> 0.05). The intraoperative blood loss in the observation group and the amount of chest drainage, indwelling chest tube time, complications and hospital stay at 24 hours after operation were all less than those in the control group (P <0.05). Conclusions Thoraco-laparoscopic combined with esophagectomy and conventional thoracotomy can effectively clear the regional lymph nodes. However, the former did not significantly increase the operation time, and less trauma, less blood loss, postoperative recovery of patients with fast, short hospital stay, the effect is satisfactory.