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胸腔镜联合腹腔镜治疗食管癌的临床效果

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目的 观察胸腔镜联合腹腔镜治疗食管癌的临床效果.方法 选择2019年1月至2023年11月江苏省南通市第三人民医院食管癌患者86例为研究对象,按照随机数字表法分为试验组(n=43)和对照组(n=43).对照组患者采用胸腔镜辅助小切口治疗,试验组患者采用胸腔镜联合腹腔镜治疗.比较2组淋巴结清扫量、手术时间、术中出血量、术后引流量、住院时间和并发症发生情况.结果 试验组淋巴结清扫量显著高于对照组(P<0.05),手术时间、术中出血量、术后引流量和住院时间均显著低于对照组(P<0.05).试验组吻合口瘘1例,感染1例,心律失常1例;对照组吻合口瘘1例,肺不张1例.2组并发症发生情况比较差异无统计学意义(P>0.05).结论 胸腔镜联合腹腔镜能明显提升手术效率,值得推广.
Evaluation of Clinical Outcomes of Thoracoscopy Combined with Laparoscopy in Esophageal Cancer
Objective To evaluate the clinical outcomes of thoracoscopy combined with laparoscopy in the treatment of esophageal cancer. Methods Eighty-six esophageal cancer patients treated in our hospital from January 2019 to No-vember 2023 were selected and divided into the experimental group (43 patients) and the control group (43 patients) according to the randomized numerical table method. Patients in the control group were treated with traditional thoracoscopy;patients in the experimental group were treated with thoracoscopy combined with laparoscopy. The amount of lymph node dissection,op-eration time,intraoperative bleeding,postoperative drainage volume,length of hospitalization,and occurrence of complications were observed. Results Lymph node dissection in the experimental group was significantly higher than in the control group (P<0.05),and operation time,intraoperative bleeding,postoperative drainage,and hospitalization time were significantly lower than those in the control group (P<0.05). The experimental group had one case of anastomotic fistula,one infection,and one arrhythmia;the control group had one case of anastomotic fistula and one case of atelectasis. There was no significant difference in the occurrence of complications between the two groups (P>0.05). Conclusion Thoracoscopy combined with laparoscopy can significantly improve surgical efficiency and has a remarkable clinical effect,making it worthy of promotion.

esophageal cancerThoracoscopylaparoscopycomparative efficacy study

陆如建、卢帅

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226000 江苏 南通,江苏省南通市第三人民医院/南通大学附属南通第三医院胸外科

食管肿瘤 胸腔镜 腹腔镜 疗效比较研究

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(5)