胸腔镜食管癌根治术的临床效果及术后并发症观察

doi:10.16260/j.cnki.1009-2188.2017.01.007

Chinese Journal of Modern Operative Surgery

2017, Vol. 21

Issue (1): 27-30 DOI: 10.16260/j.cnki.1009-2188.2017.01.007

Clinical Research

Observation of Clinical Effect and Postoperative Complications of Videoassisted Thoracoscopic Surgery in Patients with Esophageal Carcinoma

LI Xiaolei, XU Jun, LIANG Qingsong, CHEN Xu

Department of Thoracic Surgery, Nanchong Central Hospital, Nanchong 637000, Sichuan, China

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Abstract ObjectiveTo observe the clinical effect and postoperative complications in patients with esophageal carcinoma treated by videoassisted thoracoscopic surgery.MethodsFrom August 2014 to September 2016, 92 cases of esophageal carcinoma were treated in our hospital. The patients were divided into the observation group and the control group, with 46 patients in each group. The observation group was treated with videoassisted thoracoscopic surgery. And the control group was treated with open esophagectomy. The operation indexes, pulmonary function and postoperative complications were compared between the two groups.ResultsOperation time of the observation group was significantly longer than that of the control group (P<0.05); The amount of intraoperative bleeding, postoperative drainage, extubation time and postoperative ambulation time of the observation group was significantly better than that of the control group (P<0.05). There was no significant difference between the groups in the number of dissected lymph nodes (P>0.05). The VC% and FEV1% of the observation group was significantly better than that of the control group (P<0.05). But there was no significant difference in FEV%, FVC% and MVV% between the two groups (P>0.05). The postoperative complication rate of the observation group and the control group was 15.22% (7/46) and 43.48% (20/46) respectively; which showed obvious superiority of the observation group (P<0.05).ConclusionComparing with traditional open chest surgery, it is recommended of the thoracoscopic radical resection for esophageal carcinoma patients for the advantages of less trauma, quicker recovery and less postoperative complication rate.

Key words： thoracoscopy esophageal neoplasms

Published: 25 May 2018

ZTFLH:

R735.1

Corresponding Authors: XU Jun

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	李晓雷，徐俊，梁青松，陈旭

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李晓雷，徐俊，梁青松，陈旭. Observation of Clinical Effect and Postoperative Complications of Videoassisted Thoracoscopic Surgery in Patients with Esophageal Carcinoma[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(1): 27-30.

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http://www.surgerychina.com/EN/10.16260/j.cnki.1009-2188.2017.01.007 OR http://www.surgerychina.com/EN/Y2017/V21/I1/27

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