Application of modified controllable lateral prone position in thoracoscope resection of esophageal carcinoma

Abstract

Objective To investigate the effect of modified controllable lateral prone position in thoracoscope resection of esophageal carcinoma. Methods From December 2011 to December 2013, 200 cases of esophageal cancer patients treated by thoracoscope resection were randomly divided into observation group and control group, with 100 cases each. Observation group adopted the modified controllable lateral prone position, and the control group was given the traditional lateral position. The different postures of the skin pressure situation, operation field exposure, anesthesia cost and doctors′ satisfaction and so on were compared between two groups. Results The incidence of skin complications, operation time, anesthesia cost in the observation group were 4.0%, (78±20) min and (1 812±490) RMB, respectively, which were significantly lower than those in the control group (χ2/t=4.348, -13.929, -3.683, respectively; P<0.05). The doctor satisfaction of the observation group was 99% which was significantly higher than 93% of the control group (χ2=4.688, P<0.05). Conclusions The modified controllable lateral prone position can fully expose the operation field during thoracoscope resection of esophageal carcinoma, reduce the operation time, make sure patients safety and comfort, reduce the skin complications, decrease the cost of anesthesia, so it is worthy of clinical popularization and application. Key words: Thoracoscope resection; Esophageal carcinoma; Modified controllable lateral prone position