Efficacy of different ways of left and right transthoracic approaches on patients with middle thoracic esophageal cancer
- VernacularTitle:左右胸不同路径手术对胸中段食管癌患者的治疗效果研究
- Author:
Jingxian YANG
1
;
Xiaofeng CHEN
;
Zhenwei WANG
;
Zhuotao YANG
;
Yingyu YU
Author Information
1. 广东省饶平县人民医院胸心外科
- Keywords:
Right transthoracic approach;
Trans-left-chest;
Middle esophageal carcinoma
- From:
China Modern Doctor
2014;(27):5-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare and analyze the surgical efficacy of different ways of left and right transthoracic ap-proaches on patients with middle thoracic esophageal cancer. Methods The 120 patients with middle esophageal carci-noma were divided into observation group (60 cases) and the control group (60 cases) randomly. The patients in obser-vation group were treated with right chest-belly-neck three-incision. The control group accepted left breast single in-cision. The operation duration, postoperative hospitalization time and indwelling chest tube time, the number of lymph node dissection, the rate of proximal spread of tumor, incidence of postoperative complications and 2-year survival rate were recorded and analyzed. Results Compared with control group, the operation duration, postoperative hospitalization time, the number of lymph node dissection and 2-year survival rate in observation group were higher. The rate of proximal spread of tumor in observation group were lower than in control group (P<0.05). The incidence of pulmonary infection and anastomotic leak were higher (P<0.05). Conclusion Compared with left breast single incision, right chest-belly-neck three-incision can provide a wider extent of lymphadenectomy, especially for mediastinal and abdominal, which may improve the survival in two years of patients with middle esophageal carcinoma. But the operation time may be longer and the incidence of pulmonary infection and anastomotic leak may be higher. Surgery should be selected according to the specific circumstances of patients.
