Clinical effect of thoracoscopic and laparoscopic surgery for upper esophageal cancer
MA Zhi-wei1 TENG Ji-ping2 ZHUANG Bu-feng2
1.Department of Surgery, Baoshan Branch of Renji Hospital Affiliated to Medical College of Shanghai Jiao Tong University, Shanghai 200444, China;
2.Department of Thoracic Surgery, Shanghai Ninth People′s Hospital Affiliated to Medical College of Shanghai Jiao Tong University, Shanghai 201900, China
Abstract：Objective To observe the clinical effect of thoracoscopic and laparoscopic surgery for upper esophageal cancer.Methods Eighty-six patients with upper esophageal cancer admitted to Shanghai Ninth People′s Hospital,Shanghai Jiao Tong University of Medicine (North Branch) and Baoshan Branch, Renji Hospital Affiliated to Medical College of Shanghai Jiao Tong University School from January 2016 to December 2017 were selected as the subjects,and randomly divided into observation group and control group, with 43 cases in each group.In the observation group,thoracoscopic and laparoscopic surgery were applied, while in the control group, only traditional open surgery was adopted.The number of lymph node dissection, postoperative pain (visual analogue score [VAS]), intraoperative blood loss, hospital stay, and complications were compared.Results There was no significant difference in the number of lymph node dissection between the two groups (P>0.05).The intraoperative blood loss in the observation group was less than that in the control group, the operation time and hospital stay were both shorter than those of the control group,with statistical significance (P<0.05).The VAS score of the observation group 12, 24, 36 h after operation were lower than those of the control group, with significant differences (P<0.05).The total incidence of complications in the observation group was lower than that of the control group, and the difference was statistically significant (P<0.05).Conclusion Thoracic and laparoscopic surgery is effective in the treatment of upper esophageal cancer, which can effectively alleviate the pain level, reduce the amount of intraoperative blood loss, and shorten the time of surgery and hospital stay in a low incidence of complications, which has a great clinical value.
马志伟; 滕继平; 庄步峰. 胸腹腔镜联合手术治疗上段食管癌的临床效果[J]. 中国当代医药, 2019, 26(14): 88-90.
MA Zhi-wei; TENG Ji-ping; ZHUANG Bu-feng. Clinical effect of thoracoscopic and laparoscopic surgery for upper esophageal cancer. 中国当代医药, 2019, 26(14): 88-90.
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