| 张春盛,刘继辉,孙明,等.胸部小切口Ivor-Lewis术在食管癌治疗中的应用研究[J].安徽医药,2019,23(2):280-282. |
| 胸部小切口Ivor-Lewis术在食管癌治疗中的应用研究 |
| Application of mini-thoracotomy Ivor-Lewis in radical operation of esophageal carcinoma |
| 投稿时间：2017-03-06 |
| DOI： |
| 中文关键词: 胸部小切口 Ivor-Lewis 食管癌 |
| 英文关键词: Mini-thoracotomy Ivor-Lewis Esophageal cancer |
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| 中文摘要: |
| 目的 探讨胸部小切口在Ivor-Lewis食管癌根治术中的应用及价值。方法 回顾性分析合肥市滨湖医院胸心外科2014年1月至2016年12月收治的46例胸中下段食管癌手术病人的临床资料,分为观察组(右胸小切口和上腹正中切口)和对照组(右胸后外侧切口和上腹正中切口)各23例。对两组的胸部切口长度、胸部操作时间、淋巴结清扫数目、术中出血量、上肢功能恢复时间、镇痛药物使用时间、术后并发症等进行比较。结果 观察组和对照组在切口长度[(12.1±3.5) cm比(25.2±4.4) cm]、上肢功能恢复时间[(8.4±1.4) d比(13.6±2.7) d]、镇痛药物使用时间[(42.3±6.6) h比(64.4±7.2) h]等方面比较,均差异有统计学意义(t=11.138、8.279、12.770,均P=0.000)；胸部操作时间,淋巴结清扫数目,术中出血量,术后并发症,差异无统计学意义(P＞0.05)。 结论 胸部小切口Ivor-Lewis术式缩小了胸部切口,胸部操作时间并无延长,能够充分清扫淋巴结,改善病人术后情况,不增加术后并发症,是安全可行的手术方式。 |
| 英文摘要: |
| Objective To explore the application and value of mini-thoracotomy Ivor-Lewis in radical operation of esophageal carcinoma.Methods The clinical data of 46 patients with thoracic middle-lower segment esophageal carcinoma treated in Hefei Binhu Hospital from January 2014 to December 2016 were reviewed retrospectively.The patients were assigned into observation group (right mini-thoracotomy incision and upper abdominal median incision) and control group (right posterolateral thoracotomy incision and upper abdominal median incision),with 23 cases in each group.The length of thoracic incision,intrathoracic operation time,increment of dissected lymph nodes number,intraoperative blood loss,functional restoration of upper limb,time for analgesics use and postoperative complications were compared between the two groups.Results There were significant differences between the two groups in the length of incision [(12.1±3.5) cm vs.(25.2±4.4) cm],the functional restoration of upper limb [(8.4±1.4) d vs.(13.6±2.7) d],and time for analgesics use [(42.3±6.6) h vs.(64.4±7.2) h](t=11.138,8.279,12.770,all P=0.000); intrathoracic operation time,increment of dissected lymph nodes number,intraoperative blood loss and postoperative complications between both groups had no significant differences (P>0.05).Conclusions Mini-thoracotomy Ivor-Lewis esophagectomy can reduce the length of thoracic incision without prolonged intrathoracic operation time,which may adequately dissect lymph nodes,improve the postoperative condition of the patients without increasing postoperative complications.It is a safe and feasible operation procedure. |
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