摘要
目的探讨裸眼3D胸腔镜在微创食管癌根治术中的安全性及有效性。方法回顾性分析2018年10月至2019年4月于我院接受微创食管癌根治术的65例食管癌患者的临床资料,其中男50例、女15例,年龄47~72岁。根据手术方法将患者分为两组,即裸眼3D胸腔镜组(A组,30例)、传统2D胸腔镜组(B组,35例)。比较两组临床效果。结果 A组手术时间明显短于B组(P<0.05),A组清扫淋巴结数目多于B组(P<0.05),术后第1~3 d胸腔引流量A组多于B组,差异有统计学意义(P<0.05),术后第4~5 d胸腔引流量差异无统计学意义(P>0.05),术后胸腔引流管置管时间A组长于B组,差异有统计学意义(P<0.05);两组在术后住院时间、肺部感染、心律失常、吻合口瘘、喉返神经损伤等方面差异无统计学意义(P>0.05)。结论应用裸眼3D胸腔镜实施微创食管癌根治术是一种安全、有效的手术方式,与传统的2D胸腔镜微创手术相比,其在术中的安全性更高,清扫淋巴结更加彻底,手术效率更高,值得推广。
Objective To investigate the safety and efficacy of naked eye 3 D thoracoscopic surgery in minimally invasive esophagectomy.Methods Clinical data of 65 patients,including 50 males and 15 females aged 47-72 years,with esophageal cancer who underwent minimally invasive thoracoscopic esophagectomy from October 2018 to April 2019 were retrospectively analyzed.Patients were divided into two groups according to different surgical methods including a naked eye 3 D thoracoscopic group(group A:30 patients)and a traditional 2 D thoracoscopic group(group B:35 patients).The effects of the two groups were compared.Results The operation time in the group A was significantly shorter than that in the group B(P<0.05).The number of dissected lymph nodes in the group A was more than that in the group B(P<0.05).The thoracic drainage volumes on the 1 th-3 th days after operation in the group A were significantly larger than those in the group B(P<0.05),but there was no significant difference between the two groups on the 4 th-5 th days after operation(P>0.05).The indwelling time in the group A was longer than that in the group B(P<0.05).Postoperative hospital stay,pulmonary infection,arrhythmia,anastomotic leakage,and recurrent laryngeal nerve injury were not significantly different between the two groups(P>0.05).Conclusion Naked eye 3 D thoracoscopic surgery for minimally invasive esophagectomy is a safe and effective surgical procedure.Compared with traditional 2 D minimally invasive thoracoscopic surgery,it is safer in operation and more thorough in clearing lymph nodes.The operation is more efficient and can be promoted.
作者
黄可南
丁新宇
陈子豪
韦荣强
陈昱
徐志飞
唐华
HUANG Kenan;DING Xinyu;CHEN Zihao;WEI Rongqiang;CHEN Yu;XU Zhifei;TANG Hua(Department of Minimally Invasive Thoracic Surgery Center,Shanghai Changzheng Hospital,Second Military Medical University,Shanghai,200003,P.R.China)
出处
《中国胸心血管外科临床杂志》
CAS
CSCD
2020年第4期441-445,共5页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
基金
上海市卫生和计划生育委员会青年项目(20154Y0040)
国家自然基金面上项目(81470213)
国家自然基金青年项目(81402449)。
关键词
裸眼3D
胸腔镜
食管癌
Naked eye 3D
thoracoscope
esophageal carcinoma
作者简介
通信作者:唐华,Email:tanghua999@smmu.edu.cn。
