Difference Between Left Thoracotomy And Ivor-Lewis Surgical Treating Esophageal Cancer

Objective:To evaluate the difference between Left thoracotomy and Ivor-Lewis surgical treating esophageal cancer on length of operation、The number of lymph node cleaning、Lymph node positive rate、Thoracic cavity closed drainage tube indwelling time、Pulmonary complications、 The incidence of anastomotic fistula、The incidence of laryngeal recurrent nerve injury、post operation hospitalization duration.Method:Ivor-Lewis operation:38cases,30cases of patients with left open thoracic surgery. Operating by a surgeon with Sub-senior title of a technical post and leading Surgical group.Result:Left thoracotomy and Ivor-Lewis surgery difference in time [(333.62±16.216min);(241.32±17.982)min]、lymph node cleaning the number [(32.6±9.349);(20.7±7.577)] lymph node positive rate [(57.9)%;(9.33)%]] is statistical significance (P<0.05); In thoracic cavity closed drainage tube indwelling time [(6±3.021) d;(6±4.015) d]、 the incidence of pulmonary complications [(2.63)%;(0.00)%]、incidence of anastomotic fistula [(0.00)%;(2.63)%]、laryngeal recurrent nerve injury incidence [(2.63)%;(0.00)%]、postoperative length of hospital stay [(17±3.210) d;(16±2.798) d] is no statistical significance (P>0.05).Conclution:Although two kinds of operation have their own characteristics in difficulty、risk,、curative effect、and the incidence of postoperative complications; but the Ivor-Lewis surgery is more thoroughly in cleaning the lymph node in treating the mid-thoracic portion esophageal carcinoma (cT2N0M0), which directly affect postoperative pathologic staging and prognosis. Ivor-Lewis is recommended for the surgical treatment of the mid-thoracic portion esophageal carcinoma (cT2N0M0).