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Comprehensive clinical efficacy comparison of thoracoscopic assisted and open radical resection of esophageal carcinoma |
CHANG Hui-wen ZHANG Ya-jun SONG Jian-xiang SHI Zhan |
Department of Cardiothoracic Surgery,Yancheng Hospital Affiliated to Southeast University Medical College,Jiangsu Province,Yancheng 224001,China |
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Abstract ObjectiveTo compre the comprehensive clinical efficacy of thoracoscopic assisted and open radical resection of esophageal carcinoma.MethodsFrom May 2014 to May 2017,62 patients with esophageal cancer diagnosed and treated in our hospital were selected as object,and they were divided into the study group (n=31)and reference group(n=31)according to the random number table method.The patients in the reference group were treated with traditional open radical resection of esophageal cancer,and the patients in the study group were treated with thoracoscopic assisted radical resection of esophageal carcinoma.The operation time,the length of stay,the number of lymph node dissection and the amount of bleeding during operation,the drainage volume of after 24 h operation,the degree of chest pain after 36 h operation,and the incidence of postoperative complications were compared between the two groups.ResultsThere was no significant difference of the operation time and the number of lymph node dissection in patients between the two groups (P>0.05).The length of stay in patients of the study group was significantly shorter than that in the reference group,the amount of bleeding during operation,the drainage volume of after 24 h operation in patients of the study group were significantly fewer than those of the control group,the chest pain score after 36 h operation in patients of the study group was significantly lower than that in the reference group,and there was a statistical difference(P<0.05).Conclusionthoracoscopic assisted and open radical resection of esophageal carcinoma has a characteristics of small trauma,few bleeding amount,faster postoperative recovery,and can effectively reduce the incidence of postoperative complications,compared with open radical operation of esophageal cancer,the advantages are more obvious,and it is worthy of widely promotion and application in clinic.
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