The effects and the impact on lung function and survival rate of laparo-scopic surgery combined thoracic for patients with esophageal carcinoma
- VernacularTitle:胸腹腔镜联合食管癌根治术对食管癌患者肺功能与生存率的影响
- Author:
Biao WU
1
;
Jiemin HONG
Author Information
1. 宁波市鄞州第二医院胸外科
- Keywords:
Esophageal cancer;
Chest laparoscopy;
Laparoscopic surgery combined thoracic;
Lung function;
Survival rate
- From:
China Modern Doctor
2014;(27):24-26,29
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects and the impact on lung function and survival rate of laparoscopic surgery combined thoracic for patients with esophageal carcinoma. Methods From February 2011 to February 2013 in our hospital,selected 70 cases patients with esophageal cancer, 35 patients took laparoscopic surgery combined tho-racic as laparoscopy group, and the remaining 35 patients took esophageal chest resection as control group , before and after surgery the first five days, lung function after two months of forced expiratory volume in 1 second (FEV1) and forced vital capacity(FVC)and two groups of patients undergoing after six months, one year survival rate after surgery, postoperative complication rate case were compared between two groups. Results After two months, the two groups of patients with FEV1, FVC significantly increased than before the surgery and the first five days after surgery, and the laparoscopic group patients of FEV1, FVC significantly higher than the control group, the difference was statistically significant(t=2.76,2.59, P<0.05). The survival rate of patients after endoscopic six months, respectively, after 1 year al-though higher, but the difference was not significant (χ2=1.753,1.982, P>0.05). None of the patients with postoperative atrial fibrillation laparoscopy group, the complication rate of only 8.6%, while the control group 1 patients had atrial fibrillation, the complication rate was 28.6%, was significantly higher than the laparoscopic group, the complications the incidence between two groups, the difference was statistically significant(χ2=4.753, P<0.05). Conclusion Laparoscopic surgery combined thoracic can help to improve lung function in patients with esophageal cancer , and reduce the inci-dence of postoperative complications, thereby improving patient survival .
