Comparison of endoscopic and open McKeown esophagectomy
10.3760/cma.j.issn.1006-9801.2017.08.007
- VernacularTitle:胸腹腔镜与开放式颈胸腹联合三切口食管癌切除术效果比较
- Author:
Shuqing WEI
;
Yongming SONG
;
Dongliang LI
;
Feiyun CHANG
- Keywords:
Esophageal neoplasms;
Thoracic surgery,video assisted;
McKeown esophagectomy
- From:
Cancer Research and Clinic
2017;29(8):532-535
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility of endooscopic minimally invasive McKeown esophagectomy in the treatment of esophageal carcinoma. Methods From June 2012 to August 2015, the data of 180 patients with esophageal carcinoma was retrospectively analyzed. The patients were divided into endoscopy McKeown esophagectomy group (EME group) and open McKeown esophagectomy group (OME group), each group had 90 patients. The clinical pathological data, perioperative data and postoperative complications between the two groups were analyzed. Results The operation time in EME group was longer than that in OME group [(289 ± 30) min vs. (252 ± 28) min, t= 8.063, P< 0.05]. The intraoperative blood loss and postoperative blood loss on the first day after operation in EME group were less than those in OME group [(178.94 ± 47.84) ml vs. (323.44 ± 59.51) ml, t=17.952, P<0.05; (220.93 ± 49.07) ml vs. (362.59 ± 68.37) ml, t= -15.968, P< 0.05]. There was no significant difference between the two groups in the number of lymph node dissection (t= -1.913), postoperative hospitalization days (χ2= 4.858) and postoperative complications (exact probability method) (all P> 0.05). Conclusions Endoscopic minimally invasive McKeown esophagectomy has the same effect as open surgery, and trauma is small. Therefore, for the patients who are suitable for the minimally invasive surgery, it can be preferred.
