【作者】 陈利华； 任光国； 李强； 肖文光； 彭林； 庄翔； 杨小军； 宋煜宏； 韩冰涛； 何金涛； 肖波； 朱江； 方强； 谢天鹏；

【Author】 Chen Li-Hua Ren Guang-Guo LiQiang Xiao Wen-Guang Pen Lin ZhuangXiang Yang Xiao-Jun Song Yu-Hong Han Yong-Tao He Jin-Tao Xiao Bo Zhu Jiang Fang Qiang Xie Tian-Peng Chest surgery, Sichuan Cancer Hospital,610041, China

【机构】 四川省肿瘤医院胸外科；

【摘要】 目的:发展一种适合我国国情的食管癌外科微创小切口技术。方法:52例食管癌病人接受了我们设计的小切口 Ivor Lewis径路食管切除术,并与同期52例传统Ivor Lewis 径路手术病人的手术时间、清除淋巴结数量、术中出血量、术后镇痛剂使用频率、胸引时间及术后并发症进行比较。结果: 小切口组无手术死亡,无术中大出血、意外损伤等术中并发症。小切口组在手术时间、清除淋巴结数量、术中出血量、胸引时间及术后并发症上与传统组无明显差别,而术后镇痛剂使用频率明显较传统组减少,差别有统计学意义(P=0．007)。结论:小切口Ivor Lewis径路食管切除术明显减轻了对病人的创伤,且安全、可行,对设备和器械要求不高,是一种适合我国国情的食管癌外科治疗微创技术。更多还原

【Abstract】 Objective: To develop a small incision esophagectomy technique in order to fit Chinese economic conditions. Methods: 52 patients with carcinoma of the esophagus received in small incision ivor-lewis esophagectomy, and 52 patients received traditional ivor-lewis esophagectomy in the same time were control group. Results: There were no significant difference in operational time, the numbers of lymphoid node dissected, the volume of hemorrhage and postoperative complications. In post-operational paregoric treatment, the small incision’ s group has significant decrease frequency ( P=0.007 ). Conclusion: Small incision ivor-lewis esophagogastrectomy can reduce the invasiveness of radical economic esophagectomy . the technique don’ t need many equipment or apparatus ,and easy carry out, so it is superior surgical procedure to fit Chinese economic conditions.更多还原