ã€Abstractã€‘Objective: To compare the clinical effects of minimally invasive esophageal cancer radical resection and traditional esophageal cancer radical resection.Methods: 200 cases of esophageal cancer radical resection were performed from July 2014 to July 2017 in our hospital.The cases were divided into experimental group and control group, 82 cases in the experimental group and 118 cases in the control group.The experimental group was treated with minimally invasive esophageal cancer radical surgery, and the control group was treated with conventional thoracotomy.Record the comparison between the two groups (1) surgical conditions, including the time of surgery, intraoperative blood loss, hospitalization time; (2) the number of lymph nodes cleaned; (3) the postoperative control group used conventional thoracotomy, including lung lesions, anastomotic fistula / narrow.RESULTS: The parameters of operation time, intraoperative blood loss, hospitalization time, and number of lymph nodes cleaned in the experimental group were lower than those in the control group, and the difference was statistically significant (p<0.05). In addition to pulmonary infection (p<0.05), There was no significant difference in the incidence of other complications between the experimental group and the control group (p>0.05).Conclusion: Minimally invasive esophageal cancer radical resection and conventional thoracotomy have good clinical effects in the treatment of esophageal cancer. Minimally invasive esophageal cancer radical surgery can effectively reduce intraoperative trauma and postoperative reaction, which is worthy of popularization and application.
Wang Lidong, Hu Shoujia, Lu Shuang, et al. Progress in basic research and clinical application of esophageal cancer [j]. Henan Medical Research, 2016, 26(8): 1345 - 1347.
Shen Gang, Yue Guojun, Bai Yuju, et al. Clinical evaluation of esophageal cancer combined with radiotherapy for esophageal cancer[J] . Journal of Clinical Medicine Research and Practice, 2016,1 (17) : 6 0-62
Gu Xiaobo, Cong Wei. Effect of endoscopic esophageal cancer radical resection for advanced esophageal cancer[J]. Journal of Practical Hospital, 2016, 13( 1) : 46 - 47.
Cai Lei, Li Yan, Xiao Shu-ao, et al. Short-term efficacy evaluation of laparoscopic minimally invasive esophageal cancer for the treatment of Siewert type I gastroesophageal squamous cell carcinoma[J]. Progress in Modern Biomedicine, 2015,15( 34 ) : 6682 - 6685,6700.
Zuo Tingting, Zheng Rongshou, Zeng Hongmei, et al. Analysis of the incidence and trend of esophageal cancer in China [j]. Chinese Journal of Oncology, 2016, 38 (9): 703-708.
Yan Bao, Zhao Jianqiang, Hou Yulong, et al. Comparative study of minimally invasive and open radical surgery for esophageal cancer in lymph node dissection and early postoperative complications [j]. Chinese Journal of Minimally Invasive Surgery, 201616(3): 205-208 .
Li Jiandong. The effect of rapid rehabilitation surgery on minimally invasive esophageal cancer resection [j]. Health: late edition, 2015, 9 (9): 121.
Fu Jianhua, Tan Zihui. Current status and future prospects of surgical treatment of esophageal cancer [j]. Chinese Journal of Clinical Oncology, 2016, 43(12): 507-510.
Li Zhijia, Wang Junye, Zhang Haibo, et al. Effect of endoscopic esophageal cancer radical resection in the treatment of esophageal cancer [j]. Chinese and Foreign Medical Research, 2015, 13 (3): 42-43.
Nie Jun, Zhou Bo, Wang Lu. Effects of different lymph node dissection on lymph node metastasis recurrence rate, survival time and complications in elderly patients with upper thoracic esophageal cancer[J]. Journal of Practical Cancer, 2017, 32(8): 1267-1269.
Wang Youyu, Zeng Fuchun, Cong Wei, et al. Application of thoracoscopic technique in esophageal cancer surgery [j]. Chinese Journal of Thoracic and Cardiovascular Surgery, 2015, 22 (6): 610-612.
Fan Wenqiang. Clinical analysis of thoracic and laparoscopic combined with minimally invasive treatment of esophageal cancer[J]. Henan Medical Research, 2016, 25( 2) : 313 - 314.
Hou Yulong, Guo Wei, Yang Zhijian, et al. Comparative study of 3d and 2d thoracic laparoscopic treatment of esophageal cancer[J]. Chinese Journal of Gastrointestinal Surgery, 2015, 18 (9): 889-892.
Wen Yuqin, He Li, Li Lixia. Prevention and control of infection in patients undergoing thoracoscopic and laparoscopic surgery combined with esophageal cancer[J]. Chinese Journal of Nosocomiology, 2016, 26(1): 98-99.
Liu Baoxing, Li Yin et al. Comparison of minimally invasive McKeown and left thoracic esophagectomy for the treatment of lower thoracic esophageal cancer[J]. Chinese Journal of Thoracic and Cardiovascular Surgery, 2013, 29 (6):342-345.