The Comparison Of Short-term Curative Effect Between Left Thorax(Sweet)and Right Thorax(Ivor-lewis、Mckeown)in Esophagectomy

Objective:China is a country with a high incidence of esophageal cancer and the capacity of surgical treatment has long been one of the best in the world.~1 Therefore,based on the single-center retrospective analysis in thoracic surgery department of The No.4 Hospital of Hebei Medical University,which has a quite large number of esophageal cancer cases and operations in the North China Plain.We reviewed the patients with esophageal cancer who underwent Sweet procedure as The Left Thoraco-Esophagectomy(TLTE),And the Ivor-lewis and Mckeown procedure are belong to The Right Thoraco-Esophagectomy(TRTE).The short-term clinical effects of such as the mean time of postoperative hospital stay,hospitalization cost and the postoperative complications were compared and analyzed.Hereby to provide a clinical reference for the selection of operations for people suffer fr-om esophageal cancer.Methods:The retrospective analysis has incorporated 203 patients with esophageal cancer who were operated of esophagectomy during from January2016 to January 2018 in No.5 thoracic surgery ward of The No.4 Hospital of Hebei Medical University.And all the patients in our experimental group were distribute into two groups according to the procedure they were uederwent.79patient were underwent The left thoraco-esophagectomy(TLTE),and the other124 patients were underwent The Right Thoraco-Esophagectomy(TRTE).Clinical related and pathological data and prognostic information were collected.By comparing the general clinical data,surgical and postoperative pathological data,perioperative complications and deaths,postoperative hospitalization and surgical-related costs of the two groups of patients,short-term clinical effects of the two groups were compared and analysed.Then to summarize the advantages and disadvantages of The left thoraco-esophagectomy(TLTE)and The Right Thoraco-Esophagectomy(TRTE).Results:The length of postoperative hospitalization,hospitalization cost and postoperative complications in the TLTE group were significantly less than those in the TRTE group,and the difference was statistically significant(P<0.05).But there was no statistically significant difference in the incidence of anastomotic leakage,postoperative ICU related complications and respiratory complications between the two groups(P>0.05).Conclusion:The application of the TLTE has obviously excellent short-term prognosis for patients underwent esophagectomy.At present the TLTE is still a relatively safe and effective therapeutic strategy for the treatment of esophageal cancer.