Comparative Analysis Of Clinical Application Of Endoscopic And Traditional Thoracotomy In Radical Resection Of Esophageal Cancer

Objective:To explore the value of thoracoscopy and laparoscop y combi-ned on Radical Surgery for Esophageal Cancer.Methods:A total of seventy-eight patients who experienced Radical Surgery for Esophageal Cancer in the Department of Chest Surgery of the First Affiliated Hospital of Guang Xi Medical University from January2018 to June 2020 were selected.Among them,thirty-three cases were o-perated on thoracoscopy and laparoscopy combined in surgical treatment of Esophageal Cancer(Endoscopic Group).Forty-four cases were performesurgery on open resection way(Open Group).The general data,clinical data during and after the operation and so on were collected for retrospective analysis.Results:There was no conspicuous distinctions in basic data between endoscopic group and open group.During surgery,contrast of intraoperative blood loss was(96.06±64.56)ml vs(152.56±106.44)ml between endoscopic group vs open group,p<0.05;Amount of lymphonodus cleaned was (14.94±7.04)piece vs(11.31±6.22)piece between endoscopic group vs open group,p<0.05;There was prominent shorter for duration of surgery in endoscopic group than open group,it was(267.82±46.82)min vs(180.2±53.01)min,p<0.05.After surgery,comparison of postoperative drainage is(1095.51±697.77)ml vs(1780.77±1284.61)ml between endoscopic group vs open group,p<0.05.It was lower for pain score in endoscopic group(3.36±1.55)than open group(4.82±1.35),p<0.05.Forty-eight hours aft-er surgery,the quantity of white blood cell was(11.58±2.58)vs (13.20± 3.45)between endoscopic group vs open group,p=0.026(It was apparent more white blood cell in the open group than endoscopic group.).But it was no distinction in average hospitalization days between the two groups.Complications: postoperative complications is 11(33%)vs26(57%)in endoscopic group vs open group,p<0.05;Pneumonia: Dist-inct difference was noted in the incidence of pulmonitis: 5(15.1%)vs 19(42.2%)in endoscopic group vs open group,p<0.05.However,complications such as hoarseness,chylothorax,anastomotic leakage,and anastomotic stenosis,were not show difference.Stratified Analysis: In end oscopic group,the operative time within the learning curve vs the operati ve time after the learning curve was(298.05±30.12)min vs(221.30±23.25)min,and the blood loss was(112.50±78.26)ml vs(78.46±29.39)ml.The results showed significant difference(P < 0.05).Conclusion: These results suggest thoracoscopy and laparoscopy combined on Radical Surgery for Esophageal Cancer can oviously decreses intraoperative blood loss,decline pain and stress reaction for patients during operation,and cut down the incidence of morbidity in perioperation stage.It has certain apparent superiority in surgical treatment for Esophageal Cancer.Further applications needed to promote in the future.