关键词: 应用价值 , 胸腹腔镜, 食管癌, 管状胃

Abstract: 【Abstract】 Objective To compare the results of combined thoracoscopic- laparoscopic and open esophagectomy performed for esophageal squamous cell carcinoma. Methods 160 patients with thoracic esophageal carcinoma from January 2011 and December 2015 in our hospital for treatment of radical resection of thoracic esophageal carcinoma combined with laparoscopy were divided into two groups，respectively，using the tubular gastric reflux surgery and traditional gastric closure treatment. Records of two patients completed surgery, compared two groups of patients with lymph node dissection number, operation time, blood loss, chest tube indwelling time, postoperative drainage, perioperative complications, and follow- up records of complications, comparison of two operative methods for total efficacy. Results Two kinds of operation in the thoracic lymph node dissection, intraoperative blood loss volume，the number of the chest tube drainage time and postoperative drainage had no significant difference（P>0.05）；gastric tube interposition surgery time, abdominal lymph node dissection significantly more than the number of total gastric closure （P<0.05）. The incidence rate of complications of tubular stomach replacement of esophagus was significantly lower than that of whole gastric suture （P<0.05）. The time of hospitalization， postoperative feeding time， recurrence and metastasis rate，two- year survival rate and quality of life （QOL）were significantly higher than that of whole gastric suture （P<0.05）. There was no significant difference in survival rate between the two groups（P>0.05）. Conclusion The treatment of esophageal cancer with esophageal tube can effectively reduce postoperative complications， improve the quality of life and survival rate of patients with esophageal cancer，and is safe and reliable.

Key words: application value, tubular stomach, laparoscopic and breast, esophageal cancer