本文選題：食管腫瘤　切入點：微創(chuàng)性　出處：《新疆醫(yī)科大學》2017年碩士論文　論文類型：學位論文

【摘要】：目的:探討微創(chuàng)McKeown食管癌切除術(shù)喉返神經(jīng)旁淋巴結(jié)清掃的可行性、安全性。方法:回顧性分析新疆醫(yī)科大學附屬腫瘤醫(yī)院行微創(chuàng)McKeown食管癌切除術(shù)的食管鱗癌患者163例,依術(shù)式的不同分為常規(guī)組63例、右側(cè)喉返神經(jīng)旁淋巴結(jié)清掃組(右側(cè)組)53例、雙側(cè)喉返神經(jīng)旁淋巴結(jié)清掃組(雙側(cè)組)47例。比較各組患者術(shù)后病理情況、手術(shù)時間、術(shù)中出血量、術(shù)后住院時長、淋巴結(jié)清掃數(shù)及肺炎、吻合口瘺、喉返神經(jīng)損傷等并發(fā)癥情況。病理情況包括腫瘤部位、病理分化程度、T分期以及病理分期。術(shù)后并發(fā)癥隨訪時間至術(shù)后6個月。結(jié)果:常規(guī)組、右側(cè)組、雙側(cè)組的腫瘤部位、病理分化程度、T分期以及病理分期差異均無統(tǒng)計學統(tǒng)計意義。常規(guī)組、右側(cè)組、雙側(cè)組出血量呈逐漸下降趨勢;雙側(cè)組總淋巴結(jié)和胸腔淋巴結(jié)清掃數(shù)高于右側(cè)組及常規(guī)組(均P0.01);而其他各指標組間比較差異均無統(tǒng)計學意義。結(jié)論:微創(chuàng)McKeown食管癌切除術(shù)行雙側(cè)喉返神經(jīng)旁淋巴結(jié)清掃具有較好的安全性及可行性。
[Abstract]:Objective: to investigate the feasibility and safety of minimally invasive McKeown resection of recurrent laryngeal lymph nodes. Methods: a retrospective analysis was made on 163 patients with esophageal squamous cell carcinoma undergoing minimally invasive McKeown resection of esophageal carcinoma in the Cancer Hospital affiliated to Xinjiang Medical University. According to the different operation methods, 63 cases were divided into routine group, right recurrent laryngeal nerve lymph node dissection group (right group, 53 cases), bilateral recurrent laryngeal nerve lymph node dissection group (bilateral group, 47 cases). Complications such as intraoperative bleeding, length of stay after operation, lymph node dissection and pneumonia, anastomotic fistula, injury of recurrent laryngeal nerve, etc. T stage and pathological stage. Postoperative complications were followed up to 6 months after operation. Results: tumor site in routine group, right group, bilateral group, and so on. There was no statistical difference in T stage and pathological stage of pathological differentiation. The amount of blood loss in routine group, right group and bilateral group was decreased gradually. The total lymph node and thoracic lymph node dissection in bilateral group was higher than that in right group and routine group (all P 0.01), but there was no significant difference between other groups. Conclusion: bilateral recurrent laryngeal nerve lymph nodes were performed by minimally invasive McKeown resection of esophageal carcinoma. Knot cleaning has good safety and feasibility.
【學位授予單位】：新疆醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R735.1

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