微创食管切除术和开放食管切除术治疗食管癌患者的临床对比探讨

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1、-山西医科大学硕士学位论文resectionandtraditionsOpenesophagealresectionadvantagesanddisadvantages，whichwillminimallyinvasiveesophagealresectionandconventionalopenresectionofesophagealcancerclinicalefficacyandsafetyoftheindicatorstobecomparedandanalyzedindetail.Objective:Compareandanalysisapplicationsch

2、est，jointlaparoscopicesophagealresection，two-fieldlymphnodedissectionandresectionofesophagealcancerwereopen，two-fieldlymphnodedissectionforthetreatmentofesophagealcancerindicatorsanddata，inordertoassessbothclinicalefficacyandsafety，selectedforsurgicaltreatmentofesophagealcancerspecificprog

3、ramstoprovidereferenceandbasisforclinicalpractice.Method:CollectedinAugust2010andJuly2013，choosepeaceChangzhiMedicalCollegeHospitalAffiliatedsurgicaloncologypatientswithesophagealcancertreated180cases，95routinechest，combinedlaparoscopicesophagectomy，patientswithtwo-fieldlymphadenectomyasmi

4、croChonggroup，85routineopenesophagectomy，patientswithtwo-fieldlymphnodedissectionasanopengroup，compareandanalyzetheclinicalefficacyofthetwogroupsandrelatedindicatorsdata.Results:Minimallyinvasiveoperativetimewaslongerthantheopengroup，twogroupssystematiclymphnodedissectionnumber，theresected

5、specimenmarginstatus，theoverallincidenceofpostoperativecomplications，postoperativelengthofhospitalstaywerenotsignificantlydifferent(P>0.05)，buttheminimallyinvasivegroupbloodloss，chesttubetime，theincidenceofpostoperativewoundinfection，postoperativerefluxgastritis，incidenceofpostoperativepul

6、monarycomplicationstwoweekswassignificantlylowerthantheopengroup(P>0.05)，patientswithminimallyinvasivegroupIV----山西医科大学硕士学位论文ofpatientsandopengroupintherecurrenceratetheirpostoperativeperiodcomparisonsfoundnostatisticallysignificantdifference(P>0.05).Conclusions：Minimallyinvasiveesophagect

7、omy，two-fieldlymphnodedissectionandopenesophagectomy，two-fieldlymphadenectomyforthetreatmentofpatientswithesophagealcancercanberemoved，thetwosurgicalmethodshavegoodsafetyandclinicalefficacy，butthemicroinvasiveesophagealresectionforpatientswithbodydamagecausedb