Clinical effects of three surgical procedures on esophageal carcinoma and occurrence of gastroesophageal reflux after operation

Abstract

Objective To compare the clinical effects of three surgical procedures on esophageal carcinoma and occurrence of gastroesophageal reflux after operation. Methods A total of 112 patients with esophageal carcinoma in our hospital were divided into left resection group (group A), double resection group (group B) and three resection group(group C). Group A was treated with left open thoracic esophagus and stomach anastomosis, group B was treated with right thoracotomy and upper abdominal esophagus and stomach anastomosis, and group C was treated with resection of esophageal carcinoma in right chest, regio abdominis media and left neck. After treatment, the perioperative indexes, postoperative curative effects, complication rates of anastomotic leakage, anastomotic stricture, gastroesophageal reflux and pulmonary diseases among the three groups were compared. Results There was no significant difference in operative time between group A and group C(P>0.05), but the operative time in group B was obviously longer than that in group A and group C(P 0.05), but the blood loss and recovery time in group B was obviously more and longer than those in group A and group C(P<0.05); the total number of lymph nodes cleaning and rate of tumor resection from high to low were group C, group B and group A; the positive number of incisal edge in the three groups were all 2 cases; the gastroesophageal reflux rates in the three groups were all higher, the group A had the lowest anastomotic leakage rate, the group B had the lowest complication rate of pulmonary diseases, and group C had the lowest anastomotic stricture rate. Conclusions Left resection operation has the advantages of less operative and recovery time, and lower anastomotic leakage and stricture rates; double resection operation has the advantages of less blood loss and complication rate of pulmonary diseases; three resection operation has the advantages of more lymph nodes cleaning number and higher tumor resection rate; thus, the best operative method should be selected according to patients’ condition. Key words: Three surgical procedures; Esophageal carcinoma; Gastroesophageal reflux; Curative effect; Comparison