An observational comparison of totally endoscopic Ivor-lewis esophagectomy over assisted abdominal mini-incision
10.3760/cma.j.issn.1001-4497.2019.04.009
- VernacularTitle:腔镜联合上腹部小切口与全腔镜Ivor-Lewis食管切除术的近期临床效果比较
- Author:
Jian CHEN
1
;
Bicheng ZHAN
;
Jian LIU
;
Meiqing XU
Author Information
1. 安徽医科大学附属安庆医院心胸外科 246003
- Keywords:
Esophageal cancer;
Thoracoscope;
Abdominal incision;
Lvor-Lewis esophagectomy;
Jejunostomy
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2019;35(4):232-235
- CountryChina
- Language:Chinese
-
Abstract:
Objective Comparative study on efficacy and complications between totally laparo-thoracoscopic Ivor-Lewis esophagectomy(LTILE)combined with jejunostomy,and esophagectomy with assisted abdominal incision.Methods Clinical data of 160 patients with mid-lower thoracic esophageal cancer who underwent thoracoscopic laparoscopic oesophagectomy within the same therapeutic group from January 2017 to July 2018 were retrospectively analyzed.79 patients underwent totally LTILE combined with jejunostomy;the rest 81 patients had LTILE with assisted abdominal incision and nasointestinal tube placement.Preoperative,intraoperative and postoperative clinical data and complicatioos were analyzed.Results There was no significant difference between two groups,including operation time,intraoperative blood loss,number of lymph nodes dissection,postoperative drainage and total treatment cost.In terms of the postoperative pain scores within 3 days,incision complications,pulmonary infection rate and postoperative hospitalization time,there were significant differences(P ＜ 0.05).Conclusion Complete LTILE with jejunostomy appeared to render better short-term clinical outcomes.
