Clinical curative effect analysis of combined thoracoscopic and laparoscopic thoracic segment esophageal carcinoma radical operation

Abstract

Objective To analyze the clinical effect of thoracic and laparoscopic combined surgery in the treatment of thoracic esophageal carcinoma. Methods 368 cases of radical resection of thoracic esophageal cancer in Shanxi Tumor Hospital from May 2012 to August 2016 were selected. Among them, 140 cases were treated with combined thoracic and laparoscopic surgeries (observation group A), 143 cases were treated with left posterior lateral thoracic one incision surgeries (control group A) , 85 cases were treated with right posterior lateral thoracic and upper abdominal midline two incisions surgeries(control group B) . The observation group B were 82 cases treated with radical resection of thoracic middle segment in the observation group A. The differences of clinical indexes and the rate of postoperative complications were compared. Results The observation group A and B are less than the control group A and B on the operation time, thoracic drainage, chest tube indwelling time, postoperative hospitalization time (P 0.05). The observation group A is more than the control group A on the amount of left recurrent laryngeal nerve lymph node dissection (P 0.05); the observation group B is better than the control group B on the amount of right recurrent laryngeal nerve lymph node dissection and cleaning rate (P 0.05); the overall complication rate of the observation group A is less than the control group A (P 0.05). Conclusions The combination of thoracic and laparoscopic surgery is better than two kinds of open surgeries, which is worthy of clinical promotion. Key words: Esophageal carcinoma; Thoracoscopic; Laparoscopic; Thoracic surgery operation