Effect of thoracoscopic and laparoscopic minimally invasive surgery on postoperative pain and pulmonary function in patients with esophageal cancer

Abstract

Objective To observe the effect of thoracoscopic and laparoscopic minimally invasive surgery on postoperative pain and pulmonary function in patients with esophageal cancer. Methods 106 patients with esophageal cancer treated at our hospital from January to December, 2017 were selected, and were divided into an observation group and a control group by random number table, 53 cases for each group. The observation group were treated by thoracoscopic and laparoscopic minimally invasive surgery, while control group by routine open surgery. The surgical conditions, changes of pulmonary function indicators, incidence of complications, and postoperative pain degree in the two groups were observed. Results The operation time was longer, the intraoperative bleeding volume, score of visual analogue scale (VAS), and incidence of complications were lower, and the hospital stay was shorter in observation group than in control group, with statistical differences (all P 0.05); after the surgeries, the FVC and FEV1 were higher in the observation group than in the control group (both P<0.05). Conclusion Thoracoscopic and laparoscopic minimally invasive surgery in the treatment of esophageal cancer is safe and effective, has small trauma and few postoperative complications, and can reduce postoperative pain and accelerate pulmonary functio recovery n. Key words: Esophageal cancer; Thoracoscopic and laparoscopic minimally invasive surgery; Routine open surgery; Postoperative pain; Pulmonary function; Complications