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目的:比较胸腹腔镜联合与开放Mckeown术治疗食管癌的效果。方法:回顾分析2013年1月至2014年11月武汉大学中南医院心胸外科收治的并接受胸腹腔镜联合或开放Mckeown术的食管癌患者23例,比较两组的术中情况、术后结果及术后并发症的发生率。结果:两组患者基本情况无统计学差异(P>0.05),腔镜组手术时间相对延长(P<0.05),但术中失血量、术后第1天引流量较开放组少,术后住院时间较开放组短(P<0.05)。腔镜组术后并发症发生率更低,但无统计学意义(P>0.05)。两组淋巴结清扫数量无明显差异(P>0.05)。结论:胸腹腔镜联合Mckeown术虽然会延长手术时间,但创伤小、术后恢复快、住院时间短,可完成彻底的淋巴结清扫,是一种可靠、有效的手术方法。
Objective: To compare the effect of thoraco-laparoscopic and open Mckeown surgery for esophageal cancer. Methods: A retrospective analysis of 23 cases of esophageal cancer treated by thoracic laparoscopy combined with open Mckeown operation from January 2013 to November 2014 in Central South Hospital of Wuhan University was conducted. The intraoperative results, postoperative results and The incidence of postoperative complications. Results: There was no significant difference between the two groups (P> 0.05). The operation time in the endoscopic group was relatively longer (P <0.05), but the intraoperative blood loss and drainage on the first postoperative day were less than those in the open group. The hospital stay was shorter than that of the open group (P <0.05). The incidence of postoperative complications in the endoscopic group was lower, but not statistically significant (P> 0.05). There was no significant difference in the number of lymph node dissection between the two groups (P> 0.05). Conclusion: Combined thoraco-laparoscopic surgery and Mckeown surgery can prolong the operation time, but it is a reliable and effective surgical method to reduce the trauma and postoperative recovery and short hospitalization time, and to complete thorough lymph node dissection.