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目的探讨胸腔镜联合腹腔镜下实施贲门癌根治术与经左胸开放性手术的治疗效果差异。方法收集我院收治的74例贲门癌患者资料,根据术式不同分为腔镜组36例和开放组38例,分析两种术式的围手术期效果及并发症的发生情况。结果腔镜组术中出血量、术后严重肺炎、吻合口瘘、切口感染、反流性食管炎的发生率均少于开放组,淋巴结清扫数目腔镜组明显多于开放组(差异均有统计学意义P<0.05)。结论胸腔镜联合腹腔镜实施贲门癌根治术在术中出血量和淋巴结清扫数目及并发症的发生方面均明显优于传统的开放手术,值得临床推广。
Objective To investigate the effect of thoracoscope combined with laparoscopic open surgery of cardia cancer and open left surgery. Methods The data of 74 patients with cardia cancer admitted in our hospital were collected. According to the different surgical procedures, 36 cases were divided into the endoscopic group and the open group, and 38 cases were analyzed. The perioperative results and complications were analyzed. Results The incidence of postoperative bleeding, postoperative severe pneumonia, anastomotic fistula, incision infection and reflux esophagitis were less in the endoscopic group than in the open group, and the number of lymph node dissection was significantly higher in the endoscopic group than in the open group Statistical significance P <0.05). Conclusions Thoracoscopy combined with laparoscopy in the treatment of cardia cancer is superior to traditional open surgery in terms of the amount of bleeding and the number of lymph node dissection and complications, which is worthy of clinical promotion.