目的观察胸腔镜下保留迷走神经肺支的食管癌切除术对患者术后肺部感染的影响。方法回顾性分析60例接受胸腔镜下食管癌根治术患者的临床资料,按照是否保留迷走神经肺支分为保留迷走神经肺支组(观察组)和未保留迷走神经肺支组(对照组),每组30例,观察两组患者手术时间、麻醉时间及术后肺部感染发生情况。结果60例患者均在胸腔镜下完成手术。两组手术时间、麻醉时间比较,差异无统计学意义(P>0.05)。观察组术后肺部感染发生率为3.3%(1/30),明显低于对照组的20.0%(6/30)(P<0.05)。结论胸腔镜食管癌切除术中保留迷走神经肺支可在一定程度上降低术后肺部感染发生率。
ObjectiveTo observe the effect of thoracoscopic resection of esophageal carcinoma with preservation of pulmonary branches of vagus nerve on postoperative pulmonary infection. MethodsThe clinical data of 60 patients receiving thoracoscopic resection of esophageal carcinoma were retrospectively analyzed. According to the presence of preservation of pulmonary branches of vagus nerve, all patients were divided into a group with preservation of pulmonary branches of vagus nerve(observation group) and a group without preservation of pulmonary branches of vagus nerve (control group), with 30 cases in each group. Operation duration, anesthesia time, and incidence of postoperative pulmonary infection were observed in the two groups. ResultsThoracoscopic surgery were all accomplished in sixty patients. There was no statistically significant difference in operation duration or anesthesia time between the two groups (P>0.05). The incidence rate of postoperative pulmonary infection in the observation group was 3.3% (1/30), which was significantly lower than 20.0%(6/30) in the control group (P<0.05). ConclusionIn thoracoscopic resection of esophageal carcinoma, preservation of pulmonary branches of vagus nerve can reduce the incidence rate of postoperative pulmonary infection to a certain extent.