Clinical Application Of Posterior Mediastinal Drainage Tube In Thoracoscopic Esophageal Cancer Radical Operation

OBJECTIVE:To investigate the postoperative median heart rate,average body temperature,inflammation index,mean postoperative hospital stay,patient pain index,total thoracic drainage,total thoracic drainage,total thoracic drainage time,and thoracic cavity after operation.The role and significance of catheterization rate,cardiopulmonary complications,and the incidence of anastomotic fistula confirm that the posterior mediastinal drainage tube has clinical application value in right radical thoracoscopic esophageal cancer radical operation.Methods:A retrospective analysis of 61 patients with thoracic esophageal cancer treated in our hospital from October 2017 to October 2019 underwent radical thoracoscopic esophageal cancer radical operation.Thirty-one patients were included in the study group,and a posterior mediastinal drainage tube was placed in addition to the conventional closed thoracic drainage tube.Another 30 patients were set as the control group.Mediastinal drainage tube.The average heart rate,average body temperature,average leukocytes,and average neutrophil value of the study group and the control group were observed and recorded;the average postoperative hospital stay and patient pain index of the study group and the control group;Flow,total thoracic drainage,postoperative thoracic drainage tube removal time,postoperative cardiopulmonary complications,and incidence of anastomotic fistulas.Results:The average peak heart rate in the study group was(82.2±5.7)beats/min,and the average peak heart rate in the control group was(87.9 ± 7.6)beats/min,P<0.05.The difference between the two groups was statistically significant;℃)was 36.7(36.6-36.9),the average peak body temperature(℃)in the control group was 36.6(36.5-36.8),P>0.05,the difference between the two groups was not statistically significant;the average white blood cell(10 ^ 9/L)in the study group was 13.5±3.6,the average white blood cell(10^9/L)in the control group was 13.3 ± 2.5,P>0.05,and the difference between the two groups was not statistically significant;the neutrophil ratio(%)in the study group was 83.3±3.4,in the control group The neutrophil ratio(%)was 84.3 ± 3.1,P>0.05,the difference between the two groups was not statistically significant;the neutrophil count(10 ^ 9/L)in the study group was 11.0(10.2-13.7),and the control group was neutral The granulocyte count(10 ^ 9/L)was 11.3(9.6-12.4),P>0.05,there was no significant difference between the two groups;the average postoperative hospital stay(d)in the study group was 16.0(13.0-20.0),and the control group The average postoperative hospital stay(d)was 14.0(12.0-15.0),P<0.05,the difference between the two groups was statistically significant;the pain index of the control group was 2.0(2.0-2.8),and the pain index of the study group was evaluated.It was 2.0(2.0-2.3),P>0.05,there was no significant difference between the two groups;the total drainage volume(ml)of the thoracic drainage tube in the study group was 480.0(207.0-1225.0),and the total thoracic drainage(ml)was 1477.0(1087.0-2037.0),the total drainage volume(ml)of the thoracic drainage tube in the control group was 1057.5(640.0-1585.0),and the total volume of the thoracic drainage(ml)was 1057.5(640.0-1585.0).The P values were less than 0.05.The difference between the two groups was statistically significant.;The total time(days)of thoracic drainage tube extraction in the study group was 5.8(4.0-7.8),and the total time(days)of thoracic drainage tube extraction in the control group was 5.8(3.9-7.9),P>0.05.There was no statistical difference between the two groups.There were 3 cases(9.68%)of the left thorax in the control group,and 4 cases(13.33%)of the left thorax in the study group,P>0.05.There was no significant difference between the two groups;Cardiopulmonary complications occurred in 4 cases(12.90%),and the control group had cardiopulmonary complications of 3(10.00%),P>0.05.There was no significant difference between the two groups.Anastomotic fistula occurred in 2 cases(6.45%)in the study group and in the control group.There were 3 cases of anastomotic fistula(10.00%),P>0.05.There was no significant difference between the two groups.Conclusions:1.Placement of the mediastinal drainage tube can effectively reduce the patient’s heart rate after surgery and reduce the negative impact on the heart;2.Placement of the posterior mediastinal drainage tube is more convenient than conventional placement of the thoracic drainage tube,which increases the total drainage volume To achieve a more sufficient drainage effect,but it can not shorten the total time of extubation of the thoracic drainage tube;3.After placement of the mediastinal drainage tube can shorten the average postoperative hospital stay of patients,but can not reduce the pain of postoperative patients,The quality of life has not been substantially improved and improved;4.The mediastinal drainage tube after placement does not play a preventive role in the occurrence of postoperative complications of esophageal cancer.The review indicates that the posterior mediastinal drainage tube has clinical application value in the radical thoracoscopic esophageal cancer radical operation.