三种手术径路治疗食管癌并发症的比较

摘要

目的:比较三种不同手术径路治疗食管癌的并发症.方法:选择2012年1月-2016年1月食管癌患者117例.依手术径路分为:A组:左胸一切口,B组:右胸及腹部两切口,C组:左颈、右胸及腹部三切口入路.比较三种路径术后心律不齐、吻合口瘘、内出血(胸/腹腔)、乳糜胸、肺功能不全、肺栓塞的发生率.结果:三组间术后心律不齐、内出血、乳糜胸、肺功能不全、肺栓塞差异均无统计学意义(P＞0.05),而吻合口瘘的发生率:C组高于A、B两组(P=0.014,P=0.038),但A、B两组间差异无统计学意义(P =0.547).结论:左颈、右胸及腹部三切口入路吻合口瘘发生率较高.%Objective:To compare postoperative complications of esophageal cancer treated with three surgical approaches.Methods:Totally 117 cases of esophageal cancer were divided into group A (one incision in the left chest),group B (two incisions in right chest and abdomen),group C (three incisions in left neck,right chest and abdomen).The postoperative complications including arrhythmia,anastomotic leakage,chylothorax,pulmonary function insufficiency,intrathorax or abdomen cavity bleeding,pulmonary embolism were compared.Results:There was no difference among the three groups in arrhythmia,entorrhagia,chylothorax,pulmonary function insufficiency,pulmonary embolism (P ＞ 0.05).However there was a significant differece in anastomotic leakage between group A with C and B (P =0.014,P =0.038).Conclusion:The incidence of anastomotic leake was higher in the three incisions than that of one or two incisions approaches.