胸腔镜辅助食管癌根治术与开胸食管癌根治术治疗老年食管癌的效果及对术后恢复的影响对比

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Abstract Objective To compare the effect of thoracoscope assisted radical resection of esophageal carcinoma and open radical resection for esophageal cancer in elderly patients with esophageal cancer and the influence on postoperative recovery.Methods Eighty-five patients with esophageal cancer who were admitted to our hospital from March 2015 to February 2016 were selected as study subjects.They were divided into control group (n=42)and observation group (n=43)according to the odd/even number of the beds.In the control group,open radical resection was used,while in the observation group,thoracoscope assisted radical resection was adopted.The postoperative related complications,and deaths,recurrences,and metastases occurred within 2 years after surgery by outpatient follow-up were calculated.The differences in postoperative recovery,surgery and quality of life were compared between two different surgical procedures.Results There was no significant difference in recurrence,death and metastasis rate between the two groups (P>0.05).The incidence of complications in the observation group (9.3%)was lower than that in the control group(21.4%),the difference was statistically significant(P<0.05).The amount of bleeding in the observation group was less than that in the control group.The hospital stay and time of postoperative extubation were shorter in the observation group than in the control group,the difference was statistically significant(P<0.05).There was no significant difference in surgical time or amount of lymph node dissection between the two groups(P>0.05).The quality of life scores after treatment in the two groups were higher than that before treatment,and the quality of life score in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion For esophageal cancer patients,thoracoscope assisted radical resection obtains a great prognosis effect with fast postoperative recovery,few complications and significant improvement of quality of life.

Key words： Radical surgery Thoracoscope Esophageal cancer Postoperative recovery

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	ZHAORI Ge-tu
	ZHOU Ling-yun
	SUN Zhi-gang

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ZHAORI Ge-tu,ZHOU Ling-yun,SUN Zhi-gang. Comparison of efficacy of thoracoscope assisted esophageal cancer radical resection and open radical resection for esophageal cancer in elderly patients with esophageal cancer and the influence postoperative recovery[J]. 中国当代医药, 2018, 25(26): 72-74转78.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I26/72

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