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胸腔镜食管癌术后常见并发症的比较分析
作者:许淑华  何祺煜  王小军  周国平  丁军宁 
单位:东台市中医院 外科, 江苏 盐城 224200
关键词:食管肿瘤 并发症 外科手术 胸腔镜 
分类号:R735.1
出版年·卷·期(页码):2021·40·第一期(74-77)
摘要:

目的:比较胸腔镜食管癌根治术与传统开胸术后常见并发症的差异并分析产生的原因。方法:收集2012年2月至2014年2月在本院手术治疗的82例食管癌手术患者(其中胸腔镜食管癌根治术44例,传统开胸术38例)的术后相关资料,对患者术后并发症进行比较,并分析产生的主要原因。结果:胸腔镜食管癌根治术组与传统开胸术组的术前患者的一般情况,如性别、年龄和肿瘤大小等差异无统计学意义。胸腔镜食管癌根治术组患者术后肺部感染率为6.8%,显著低于传统开胸术组的23.7%,差异具有统计学意义(P<0.05);而术后两组患者主要并发症,如消化道出血(4.5%vs 7.9%)、吻合口漏(25.0%vs 10.5%)、乳糜胸(13.6%vs 10.5%)等比例的差异均无统计学意义(P>0.05)。结论:胸腔镜根治术在治疗效果上优于传统开胸术,但仍然应该加强术后并发症的认识和处置能力。

Objective: To analyze the complications between thoracoscopic esophagectomy and traditional thoracotomy. Methods: The data of 82 patients with esophageal cancer treated in our hospital from February 2012 to February 2014 were retrospectively analyzed, including 44 cases of thoracoscopic radical esophagectomy (minimally invasive group) and 38 cases of conventional thoracotomy(control group). Results: There was no significant difference in the general conditions of patients such as age, gender and tumor size between the two groups. The results of comparative analysis of complications showed that the incidence of pulmonary infection in the minimally invasive group was significantly lower than that in the control group (P<0.05); however, there was no significant difference in the incidence of gastrointestinal bleeding, anastomotic leakage and chylothorax between the two groups (P>0.05). Conclusion: Thoracoscopic radical surgery is superior to traditional thoracotomy, but we should strengthen the understanding and management of postoperative complications.

参考文献:

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