Comparison of Clinical Effects of Three Different Surgical Approaches for Esophageal Cancer
YAN Song;Department of Thoracic Surgery, The People's Hospital of Sheyang County;
Objective To compare the advantages and disadvantages of three conventional surgical approaches for esophageal cancer and to select the proper surgical approach. Methods The clinical data of 135 cases of esophageal carcinoma treated with different surgical approaches from October 2012 to October 2014 were analyzed retrospectively. Results The operation time of the left chest group(183.8±38.5) min was shorter than that of the right chest group(269.5±62.9) min and the minimally invasive endoscopic group(272.3±52.6) min, the difference was statistically significant(P0.05). The lymph nodes in the right chest group(23.7±5.1) were more than those in the left thoracic group(15.9±4.7), the difference was statistically significant(P0.05). Minimally invasive endoscopic group the amount of bleeding(88.1±41.2) ml, 3 days after surgery, the total pleural drainage(562.1±69.7) ml, hospitalization time(11.9±3.7) days, which were lower than the left breast group(233.3±95.1)ml,(712.5±69.8)ml,(13.7±6.1)days, the right thoracic group(245.7±78.5)ml,(832.9±132.6) ml,(16.5±6.2) days, the difference was statistically significant(P0.05). The complications of the right thoracic approach group were 30.0% higher than those in the left thoracic group and 22.2% in the minimally invasive endoscopic group 10.0%, the difference was statistically significant(P0.05). Conclusion Clinical effect of different surgical approaches for treatment of esophageal carcinoma resection and postoperative complications, should be evaluated according to the preoperative comprehensive selection for tumor and lymph node resection, reduce perioperative complications, improve the prognosis of surgical path.