胸腹腔镜食管癌根治术与传统开放手术治疗效果比较研究

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1、授予单位代码１００８９学号或申请号１３４５８巧＾钟大這ＨｅｂｅｉＭｅｄｉｃａｌＵｎｉｖｅｒｓｉｔｙ硕±学位论文在职科学学位胸腹腔镜食管癌根治术与传统开放手术治疗效果比较研究学位申请人：张午临导师；刘俊峰教授专业：外科学二级学院：第四医院２０１５年１０月河化医科大学学位论文使用授权及巧识产权归属承塔本学位论文在导师（或指导小组）的指导下。，由本人独立完成本学位论文研究所获得的研究成果，其知识产巧归河北医科大学所有。河北医科大学有权对本学位论文进行交流、

2、公开巧使用。凡发表与学位论文主要内容相关的论文一，第署名为单位河北医科大学，试验材料、原始数据、申报的专利等知识产权均归河北医科大学所有。否则，承担相应法律责任。研究生签名导师签章：级学院领导盖章：．＼弟／点义日，／＾河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加Ｗ标注和致谢等内容外，文中不包含其他人已经－发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。心＼研究生签名Ｉ；：？义苗导师签章

3、：）月＾产／／７庐ｉ目录中文摘要··············································································1英文摘要··············································································4英文缩写··············································································

4、8研究论文胸腹腔镜食管癌根治术与传统开放手术治疗效果比较研究前言··············································································9资料与方法·····································································10结果·············································································

5、·15附表··············································································18讨论··············································································21结论··············································································28参考文献·············

6、···························································28综述胸腹腔镜在食管癌切除术中的应用及研究进展······················32致谢····················································································41个人简历···································································

7、···········42中文摘要胸腹腔镜食管癌根治术与传统开放手术治疗效果比较研究摘要目的：目前采用胸腹腔镜技术进行食管癌手术是外科手术的一个发展方向，而且微创手术也是外科手术的未来发展趋势。本研究通过回顾性分析对比胸腹腔镜食管癌根治术和传统开放食管癌根治术的病例，探究不同手术方法对食管癌的根治效果和食管癌根治术后近期临床疗效，胸腹腔镜食管癌根治术是否安全可行性，能否达到食管癌根治效果。方法：本研究选取某医院胸外科2012年5月至2015年5月间食管癌根治术病例178例进行分析。将食管癌根治术病例分为两组进行回顾性比较研究，

8、胸腹腔镜食管癌根治术组病例为80例，简称腔镜组；同期同组开放食管癌根治术病例为98例，简称开放组。腔镜组男51例，女29例，平均年龄59.4岁，病变位于中段66例，下段14例。开放组男性65例，女性33例，平均年龄60.7岁，其中病变位于中段79例，下段19例。通过对比两种不