A control study of video -assisted thoracoscopic surgery (VATS)and conventional thoracotomy in treatment of thoracic esophagus cancer
10.3760/cma.j.issn.1008-6706.2016.10.007
- VernacularTitle:电视辅助胸腔镜手术与传统开胸手术治疗食管胸段癌对照研究
- Author:
Jian LI
;
Xiaoming BAI
;
Yun FENG
;
Juntao HAO
;
Lifeng MENG
;
Wen ZHOU
;
Jun MA
- Publication Type:Journal Article
- Keywords:
Esophageal carcinoma;
Video assisted thoracoscopy;
Traditional thoracic surgery;
Thoracoscopy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(10):1463-1465,1466
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of video -assisted thoracoscopic surgery (VATS)and conventional thoracotomy in treatment of thoracic esophagus cancer,to provide the reference for clinical.Methods 90 cases of thoracic esophageal cancer in our hospital from January 2012 to January 2015 were chosen as the research subjects.They were randomly divided into observation group(application of VATS treatment)and the control group (application of traditional open chest surgery).The quantity difference,chest drainage,hospitalization time,complica-tions,recovery conditions and other indicators of bleeding were compared in the two groups.Results The operation time of the observation group[(267.6 ±76.5)min]was shorter than that of the control group[(324.4 ±87.6)min]. The amount of intraoperative bleeding[(235.3 ±79.5)mL],drainage volume[(327.5 ±95.2)mL]of the observation group were less than the control group[(398.2 ±98.3)mL and (752.6 ±156.4)mL].Postoperative hospitalization time[(12.2 ±3.2)d]of the observation group was shorter than the control group[(15.8 ±4.4)d].The differences were statistically significant (t =3.276,8.644,15.575,4.439,all P <0.05).There were no significant differences between two groups in recurrence and metastasis rate,mortality rate and total survival rate (χ2 =0.123,0.212, 0.212,all P >0.05).The complication rate of the observation group was lower than that of the control group,the difference was statistically significant (χ2 =4.865,P <0.05).Conclusion In the treatment of thoracic esophageal carcinoma,VATS and conventional thoracotomy surgery has good effect,and VATS has small injury,less complication.
