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目的:探讨胸腔镜下食管癌根治术的手术方法及临床效果。方法:回顾分析从2012年5月~2013年5月期间在我院胸外科住院治疗的10例患者的临床资料,全部在胸腔镜下行食管癌根治术。结果:10例手术顺利完成,术中出血50~150ml,手术时间为150~300分钟,胸腔引流液150~450ml,术后胸管留置时间2~5天,术后未出现吻合口瘘、吻合口狭窄、皮下气肿及胸腔感染等并发症,术后患者全部得到随访,随访时间3~12个月,10例均存活,没有复发转移病例。结论:胸腔镜下食管癌根治术具有创伤小、恢复快、病人痛苦小、出血少、住院时间短、并发症少的优点,特别适合年龄较大或心肺功能欠佳患者。
Objective: To investigate the surgical methods and clinical effects of thoracoscopic esophageal cancer radical surgery. Methods: The clinical data of 10 patients hospitalized in thoracic surgery in our hospital from May 2012 to May 2013 were retrospectively analyzed. All of them underwent esophagectomy undergoing thoracoscopic surgery. Results: The operation of 10 cases was successfully completed. The blood loss was 50 ~ 150ml, the operation time was 150 ~ 300 minutes, the chest drainage was 150 ~ 450ml, the postoperative chest tube indwelling time was 2 ~ 5 days. No anastomotic fistula and anastomosis occurred after operation Mouth stenosis, emphysema and chest infection and other complications, all patients were followed up for 3 to 12 months, 10 patients were alive, no recurrence and metastasis. Conclusions: Thoracoscopic radical resection of esophageal cancer has the advantages of less trauma, faster recovery, less pain, less bleeding, shorter hospital stay and less complications, especially for older patients with poor cardiopulmonary function.