CLC number: R655.4
On-line Access: 2018-09-04
Received: 2018-07-17
Revision Accepted: 2018-08-10
Crosschecked: 2018-08-24
Cited: 0
Clicked: 3389
Zi-yi Zhu, Xu Yong, Rao-jun Luo, Yun-zhen Wang. Clinical analysis of minimally invasive McKeown esophagectomy in a single center by a single medical group[J]. Journal of Zhejiang University Science B,in press.Frontiers of Information Technology & Electronic Engineering,in press.https://doi.org/10.1631/jzus.B1800329 @article{title="Clinical analysis of minimally invasive McKeown esophagectomy in a single center by a single medical group", %0 Journal Article TY - JOUR
单中心单医疗组全腔镜食管癌切除的临床分析创新点:目前全腔镜食管癌手术在国内仍是少数大的医疗中心开展,对于多数医院仍未能开展.本研究单中心单医疗组全腔镜食管癌病例分析以及学习曲线,目前国内类似经验总结尚不多,对于该术式推广有一定指导意义. 方法:在2016年4月至2018年2月之间,共82例食管癌病人在我中心由单医疗组进行全腔镜食管癌切除手术,手术方式、临床资料、手术、病理、并发症等资料被回顾性分析.全部的腔镜手术全部被成功完成,无一例术中转为开放手术.手术时间为260分钟,术中出血100毫升.胸部和腹部的淋巴结清扫枚数分别为20.1和13.5枚.术后30天内未出现死亡病例.总并发症率为24.4%,包括吻合口瘘4例(4.9%),喉返神经损伤5例(6.1%),肺部感染3例(3.7%),乳糜胸1例(1.2%),胸腔积液4例(4.9%),不全肠梗阻2例(2.5%),颈部切口感染1例(1.2%).术后平均住院天数12天.根据学习曲线,我们分析了不同阶段的出血量、手术时间、并发症率、淋巴结清扫数量等数据.不同阶段的手术时间(P=0.006)、术后住院天数(P=0.015)、总淋巴结清扫数(P=0.003)、胸腔内淋巴结清扫数(P=0.006)和腹腔内淋巴结清扫数(P=0.022)均有统计学差异. 结论:全腔镜食管癌切除手术被认为是安全的、合适的.对于I期、II期的食管癌病人,随着手术例数的积累手术技巧会更熟练,并在25例左右到达平台期. 关键词组: Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article
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