论文部分内容阅读
目的:探讨小切口左前外侧开胸手术治疗食管癌和贲门癌的可行性和临床应用价值。方法:将同期入院符合入组条件者随机分为小切口开胸手术组(观察组)和常规开胸手术组(对照组)各50例进行手术,分别记录2组手术时间、术中出血量、清扫淋巴结数目、术后胸腔引流量和并发症情况。对照研究结束后连续行小切口开胸食管癌、贲门癌切除术502例,观察效果。结果:同期分组对照研究结果显示:与对照组比较,观察组手术时间、淋巴结切除数目无差别(P>0.05),术中出血量、术后胸腔引流量及术后并发症发生率降低(P<0.05)。连续行小切口开胸手术502例,术后并发症发生率6.8%,无手术死亡。出院后随访3个月均无明显术侧肩部及上肢活动受限。结论:小切口左前外侧开胸食管癌贲门癌切除术损伤小,并发症发生率低,不影响疗效,且能提高生活质量。
Objective: To investigate the feasibility and clinical value of small incision left anterolateral thoracotomy in the treatment of esophageal and cardiac cancer. Methods: 50 hospitalized patients who underwent admission in the same period were randomly divided into three groups: small incision thoracotomy group (observation group) and conventional thoracotomy group (control group), 50 cases were operated respectively. The operation time, blood loss , The number of lymph nodes dissection, postoperative chest drainage and complications. 502 cases of esophageal cancer and cardiac cancer resection after small incision thoracotomy were continuously performed after the control study, and the effect was observed. Results: Compared with the control group, there was no significant difference in the operation time and the number of lymph node resection between the observation group and the control group (P> 0.05), the intraoperative blood loss, postoperative thoracic drainage and the incidence of postoperative complications (P <0.05). There were 502 cases of small incision and thoracotomy consecutively. The incidence of postoperative complications was 6.8%. There was no operative death. After 3 months of follow-up after discharge from the hospital, there was no obvious limitation on the activity of shoulder and upper limbs. Conclusion: Small incision left anterolateral thoracotomy esophageal and cardiac cancer resection injury is small, the incidence of complications is low, does not affect the efficacy, and can improve the quality of life.