Gao Yongshan, Wang Yun, Chen Longqi, Zhao Yongfan
Department of Thoracic and Cardiovascular Surgery, West China Hospital of Sichuan University, Chengdu 610041, China.
Interact Cardiovasc Thorac Surg. 2011 Mar;12(3):366-9. doi: 10.1510/icvts.2010.258632. Epub 2010 Dec 24.
The aim was to compare the early outcomes between thoracoscopic and laparoscopic esophagectomy (TLE) and open three-field esophagectomy for esophageal cancer. We retrospectively analyzed clinical data from 96 patients with esophageal cancer who underwent TLE, and 78 patients who underwent open three-field esophagectomy from March 2008 to September 2010. All the operations were successful. There was no significant difference between TLE and open three-field esophagectomy with regard to the number of lymph nodes procured (17.75±5.56 vs. 18.03±6.20, P>0.05), complications (32.3% vs. 46.2%, P>0.05), and operative mortality (2.1% vs. 3.8%, P>0.05). However, hospital stay was significantly shorter in the TLE group than the open esophagectomy group (12.64±8.82 vs. 17.53±6.40 days, P<0.01), and the TLE group had significantly less blood loss (346.68±41.13 vs. 519.26±47.74 ml, P<0.01). This showed that TLE for esophageal cancer offers results as good as or better than those with open three-field esophagectomy.
本研究旨在比较胸腔镜与腹腔镜联合食管癌切除术（TLE）及开放性三野食管癌切除术治疗食管癌的早期疗效。我们回顾性分析了2008年3月至2010年9月期间96例行TLE的食管癌患者和78例行开放性三野食管癌切除术患者的临床资料。所有手术均成功。TLE与开放性三野食管癌切除术在获取淋巴结数量（17.75±5.56 vs. 18.03±6.20，P>0.05）、并发症发生率（32.3% vs. 46.2%，P>0.05）及手术死亡率（2.1% vs. 3.8%，P>0.05）方面无显著差异。然而，TLE组的住院时间明显短于开放性食管癌切除术组（12.64±8.82 vs. 17.53±6.40天，P<0.01），且TLE组的失血量明显较少（346.68±41.13 vs. 519.26±47.74 ml，P<0.01）。这表明食管癌TLE疗效与开放性三野食管癌切除术相当或更优。
