Comparison on short-term clinical effects of totally thoracoscopic surgery and traditional open-heart surgery in the treatment of esophageal cancer
- VernacularTitle:全胸腔镜手术与传统开胸手术治疗食管癌的近期临床疗效比较
- Author:
Guiting LIU
1
;
Kefeng GAO
;
Na YANG
;
Shengqiang ZHANG
;
Jianwei HUANG
;
Xiaoxuan QI
;
Ning YANG
;
Liu YANG
Author Information
1. 牡丹江医学院附属红旗医院胸外科
- Keywords:
Esophageal cancer;
Totally thoracoscopic surgery;
Traditional open-heart surgery;
Pain
- From:
China Modern Doctor
2018;56(13):44-46
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the short-term clinical effects of totally thoracoscopic surgery and traditional open-heart sugery in the treatment of esophageal cancer. Methods 64 patients with middle thoracic esophageal cancer admitted in our hospital from June 2013 to June 2016 were selected. Among them, 32 patients underwent totally thoracoscopic surgery were identified as totally thoracoscopic group and the remaining 32 patients underwent traditional open-heart surgery were identified as control group. We compared various surgical indicators of patients in the two groups. Results In the totally thoracoscopic group, the duration of operation was(123. 8±25. 1) min, the amount of blood loss during surgery was (172. 1±30. 3) mL, the retention time of chest drainage tube was (3. 1±1. 1) d and the duration of hospitalization was (15. 6±2. 7) d. Compared with the control group, these indicators showed significant difference(P＜0. 05). The incidence of postoperative complications in the totally thoracoscopic group was 9. 3％, which was significantly lower than that in the control group(31. 3％)(P＜0. 05). The pain severity of totally thoracoscopic group reduced significantly than the control group(P＜0. 05). Conclusion Compared with the traditional open-heart surgery, totally thoracoscopic surgery for esophageal cancer has advantages of less bleeding, less trauma, few complications and less pain, which is worthy of promoting and using widely in clinic.
