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目的探讨两种术式的优缺点,从而选择食管癌的优势术式。方法抽取本院胸外科2004年1月~2012年7月食管癌手术患者192例,分为Ivor-Lewis术式组(右胸后外侧和上腹正中两切口)和Sweet术式组(左胸后外侧切口)各96例。对两组的胸内操作时间、术后并发症、围手术期死亡率等进行比较。结果 Ivor-Lewis术式组和Sweet术式组平均胸内操作时间分别为52 min和108 min,术后心律失常为3.51%和11.03%,围手术期死亡1.21%和3.78%。结论 Ivor-Lewis术式具有胸内操作时间短,不损伤膈肌,对心肺功能影响小,术后并发症少,术后恢复快等优势,优于Sweet术式。
Objective To explore the advantages and disadvantages of the two surgical procedures and to select the dominant surgical procedure for esophageal cancer. Methods A total of 192 patients with esophageal cancer who underwent surgery from January 2004 to July 2012 in our hospital from January 2004 to July 2012 were divided into Ivor-Lewis group (right lateral posterolateral and mid-abdomen incision) and Sweet surgery group (left chest Posterolateral incision) in 96 cases. The intrathoracic operation time, postoperative complications and perioperative mortality were compared between the two groups. Results The mean time to intrathoracic operation in the Ivor-Lewis group and the Sweet group was 52 min and 108 min respectively. The postoperative arrhythmia was 3.51% and 11.03%, and the perioperative mortality was 1.21% and 3.78% respectively. Conclusion Ivor-Lewis operation has the advantages of short intrathoracic operation time, no damage to diaphragm, little influence on cardiopulmonary function, less postoperative complications and quick recovery after operation, which is better than that of Sweet operation.