Comparisons of postoperative complications of thoracoscopic surgery combined with laparoscopic surgery and traditional thoracotomy for esophageal cancer

Abstract

Objective To compare the postoperative complications of laparoscopic esophagectomy combined with laparoscopic esophagectomy and conventional thoracotomy. Methods A total of 112 patients with esophageal cancer of the thorax and esophagus admitted to the Fifth Hospital of Datong from October 2015 to October 2017 were selected and randomly divided into two groups according to the random number table method. Fify-six cases in the experimental group underwent thoracoscopy combined with abdominal cavity, and 56 cases in the control group underwent conventional thoracotomy. The frequency of suctioning bronchoscopy, postoperative chest drainage and complications were observed. The postoperative recovery of symptoms and the improvement of complications were analyzed. Results The thoracic drainage volume of the experimental group was lower than that of the control group (P<0.05). The hospitalization days and antibiotic application time of the experimental group were less than those of the control group, and the difference was significant (P<0.05). The tracheotomy rate of the experimental group was lower than that of the control group (P<0.05). The number of bronchial sputum aspiration in the experimental group was less than that in the control group (P<0.05). Conclusions The incidence of pulmonary infection and thoracic drainage decreases after thoracoscopic and laparoscopic esophagectomy for esophageal cancer, the frequency of sputum aspiration and tracheotomy by bronchoscope and the time of antibiotic application decreases, and the recovery is smooth. There is no major complication during the perioperative period, so these method has certain security and reliability. Key words: Thoracoscopy; Laparoscopy; Esophageal cancer resection; Complication