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目的:总结单操作孔全胸腔镜联合腹腔镜食管癌根治术的安全性、可行性和有效性。方法:回顾性分析2015年9月至2016年9月于我院行单操作孔胸腔镜联合腹腔镜治疗的食管癌患者13例的临床资料。结果:所有患者均未出现围术期死亡;平均手术时间(271±35.6)min、术中出血量(203±95.7)ml、淋巴结清扫数目(11.8±3.2)个、住院时间(12.1±6.3)d、引流管留置时间(8.3±2.1)d、引流量(810±78)ml。在术后的1-2周内出现颈部吻合口瘘、肺部感染各1例,经治疗后痊愈。结论:单操作孔全胸腔镜联合腹腔镜食管癌根治术安全有效。
Objective: To summarize the safety, feasibility and effectiveness of single operation hole thoracoscopic combined with laparoscopic radical mastectomy for esophageal cancer. Methods: The clinical data of 13 patients with esophageal cancer who underwent single-hole thoracoscope combined with laparoscopy in our hospital from September 2015 to September 2016 were retrospectively analyzed. Results: No perioperative death occurred in all patients. The average operation time was 271 ± 35.6 min, the blood loss was 203 ± 95.7 ml, the number of lymph node dissection was 11.8 ± 3.2 and the length of hospital stay was 12.1 ± 6.3. d, drainage tube indwelling time (8.3 ± 2.1) d, drainage (810 ± 78) ml. Within 1-2 weeks after operation, anastomotic fistula and pulmonary infection occurred in 1 case and recovered after treatment. Conclusion: The single operation hole thoracoscopic combined with laparoscopic radical resection of esophageal cancer is safe and effective.