Abstract: ObjectiveTo observe the clinical effect and postoperative complications in patients with esophageal carcinoma treated by videoassisted thoracoscopic surgery.MethodsFrom August 2014 to September 2016, 92 cases of esophageal carcinoma were treated in our hospital. The patients were divided into the observation group and the control group, with 46 patients in each group. The observation group was treated with videoassisted thoracoscopic surgery. And the control group was treated with open esophagectomy. The operation indexes, pulmonary function and postoperative complications were compared between the two groups.ResultsOperation time of the observation group was significantly longer than that of the control group (P<0.05); The amount of intraoperative bleeding, postoperative drainage, extubation time and postoperative ambulation time of the observation group was significantly better than that of the control group (P<0.05). There was no significant difference between the groups in the number of dissected lymph nodes (P>0.05). The VC% and FEV1% of the observation group was significantly better than that of the control group (P<0.05). But there was no significant difference in FEV%, FVC% and MVV% between the two groups (P>0.05). The postoperative complication rate of the observation group and the control group was 15.22% (7/46) and 43.48% (20/46) respectively; which showed obvious superiority of the observation group (P<0.05).ConclusionComparing with traditional open chest surgery, it is recommended of the thoracoscopic radical resection for esophageal carcinoma patients for the advantages of less trauma, quicker recovery and less postoperative complication rate.
李晓雷， 徐俊， 梁青松， 陈旭. 胸腔镜食管癌根治术的临床效果及术后并发症观察[J]. 中国现代手术学杂志, 2017, 21(1): 27-30.
LI Xiaolei, XU Jun, LIANG Qingsong, CHEN Xu. Observation of Clinical Effect and Postoperative Complications of Videoassisted Thoracoscopic Surgery in Patients with Esophageal Carcinoma. Chinese Journal of Modern Operative Surgery, 2017, 21(1): 27-30.
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