Wang Tao, Ma Mu-Yuan, Wu Bo, Zhao Yang, Ye Xiao-Feng, Li Tao
Department of Sugicial Oncology II, General Hospital of Ningxia Medical University, Yinchuan, 750004, Ningxia, China.
J Cardiothorac Surg. 2020 May 27;15(1):116. doi: 10.1186/s13019-020-01161-8.
To observe the surgical index at the different learning stages of thoraco-laparoscopic esophagectomy in the prone position for esophageal cancer and to investigate the learning curve of this surgical procedure.
Sixty thoraco-laparoscopic esophagectomies in the prone position for esophageal cancer conducted by the same group of surgeons between January 2014 and December 2015 were retrospectively analyzed. The surgeries were divided into 5 groups, A, B, C, D, and E, in chronological order. The duration of surgery, intraoperative blood loss, total number of lymph nodes removed, rate of the intraoperative conversion to open surgery, complication rate, and length of postoperative hospitalization were recorded and analyzed.
The general information of the patients did not significantly differ among the 5 groups (P > 0.05). The duration of surgery, intraoperative blood loss, number of lymph node removed, rate of intraoperative conversion to open surgery, and number of injuries to the recurrent laryngeal nerve all significantly differed (P < 0.05). The rates of postoperative pulmonary infection, anastomotic fistula, pneumothorax, and hospitalization did not significantly differ (P > 0.05).
Thoracic physicians with some endoscopic experience can meet the requirements of the thoraco-laparoscopic esophagectomy in the prone position for esophageal cancer after completing 24-30 surgeries.
观察食管癌俯卧位胸腹腔镜联合食管癌切除术不同学习阶段的手术指标，探讨该手术方式的学习曲线。
回顾性分析同一组外科医生在2014年1月至2015年12月期间进行的60例食管癌俯卧位胸腹腔镜联合食管癌切除术。手术按时间顺序分为A、B、C、D、E 5组。记录并分析手术时间、术中出血量、清扫淋巴结总数、术中中转开腹率、并发症发生率及术后住院时间。
5组患者的一般资料差异无统计学意义（P＞0.05）。手术时间、术中出血量、清扫淋巴结数、术中中转开腹率及喉返神经损伤数差异均有统计学意义（P＜0.05）。术后肺部感染、吻合口瘘、气胸发生率及住院时间差异无统计学意义（P＞0.05）。
有一定内镜经验的胸外科医师在完成24～30例手术后，即可满足食管癌俯卧位胸腹腔镜联合食管癌切除术的要求。
