摘要
Abstract
Objective To explore the efficacy of thoracotomy through different approaches for patients with esophageal cancer and the effects of lymph node dissection.Methods 78 patients with esophageal cancer treated at our department from February,2013 to February,2015 were selected as study objects and were randomly divided into an observation group (39 cases) and a control group (39 cases).The observation group were treated with two incision operation through right lateral thoracic abdominal midline approach and the control group with operation through left thoracic posterior lateral approach.The general indexes,effects of lymph node dissection,and incidence of postoperative complications were compared between these two groups.Results The operation time,intraoperative bleeding volume and hospital stay were (197.66 ± 38.72) min,(226.43 ± 19.77) ml and (14.76-±2.36) d in the observation group,respectively,which were significantly higher than those in the control group (P＜0.05).The numbers of dissected lymph nodes and metastatic lymph nodes were (19.34 ± 3.57) and (16.67 ± 2.24) in the observation group,respectively,which were significantly higher than those in the control group (P＜0.05).The incidence of postoperative complications was 25.64％ in the observation group,which was significantly higher than that in the control group (P＜0.05).Conclusions Compared with the operation through left thoracic posterior lateral approach,the one through right lateral thoracic abdominal midline approach has better effect on lymph node dissection in patients with esophageal cancer,but its disadvantage is more surgically invasive,intraoperatively bleeding more,and having higher incidence of postoperative complications.关键词
食管癌/不同入路开胸手术/淋巴结清扫Key words
Esophageal cancer, Thoracotomy through different approaches/Lymph node dissection
