Observation of the effect of thoracoscopic esophagectomy for 22 patients with esophageal cancer
10.3760/cma.j.issn.1008-6706.2015.14.004
- VernacularTitle:胸腔镜食管癌根治术22例疗效观察
- Author:
Jun ZHANG
;
Jun GAO
;
Lidong XU
;
Fan ZHANG
- Publication Type:Journal Article
- Keywords:
Esophageal Neoplasms;
Thoracoscopy;
Esophagectomy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(14):2089-2091,2092
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and outcomes of thoracoscopic esophagectomy for esophageal cancer.Methods The clinical data of 22 patients with esophageal cancer received thoracoscopic minimally invasive esophagectomy ( study group ) were retrospectively analyzed and compared with 46 patients underwent conventional open thoracic esophagectomy( control group) .The medium-term clinic outcomes of the two groups were compared. Results Compared to the control group,the study group showed significantly longer operation time[(183 ±37)mins vs (239 ±41)mins,t=6.19,P=0.002],less intraoperative blood loss[(95 ±33)mL vs (115 ±27)mL,t=5.04, P=0.004],shorter postoperative hospital stay[(15.8 ±6.2)d vs (17.5 ±7.1)d,t=5.62,P=0.003],and more removed lymph nodes[(11.6 ±4.2) vs (10.3 ±5.8),t=-3.19,P=0.018)].No significant difference was observed in the survival rate between the two groups (χ2 =0.358,P=0.449) .Conclusion There is no difference in medium-term clinic outcomes between the two kinds of esophagectomy.The patients with esophageal cancer received thoracoscopic minimally invasive esophagectomy has less complication and quick recovery.And the technology should be widely applied.
