The Analysis Of Efficiency Between Ivor-Lewis Esophagectomy And One-incision Esophagectomy Via Left Thoracic Pathway In The Treatment Of Middle And Lower Thoracic Esophageal Carcinoma

Objective:To compare the Ivor-Lewis esophagectomy and one-incision eso phagectomy via left thoracic pathway in the treatment of middle and lower tho racic esophageal carcinoma, and the different of their postoperative complicatio ns,and to find out the difference between these two surgical access. Methods: The data of269patients with middle and lower thoracic esophageal carcinoma between January2010and December2012were analyzed retrospectively. A t otal of114patients received Ivor-Lewis esophagectomy and155patients receiv ed one-incision esophagectmy via left thoracic pathway. The data of surgical pr ocedure the perioperative complications were, sdudied comparatively. Statistical analyses were performed using the SPSS17.0statistical package. Results:The number of lymph node dissection of the Ivor-Lewis esophagectomy and one-in cision esophagectomy via left thoracic pathway were (16.5±3.5) and (11.6±2.2)d (P>0.001). The difference of lymph node metastasis degrees was statistically si gnificant (15.72%、8.14%,χ2=6.32, P<0.05), The surgical margin-positive rates were0%and1.9%(P<0.05);The rates of perioperative complications were23.7%and27.7%,(P>0.05), but the rates of respiration failure and arrhythmia w ere lower than via left thoracic pathway. The length of hospital stay after oper ation were shorter than left thoracic pathway. Conclusion:The Ivor-Lewis esop hagectomy are better in lymph node dissection,the surgical margin-positive rate, and recovery after operation, and less rates of respiration failure and arrhythm ia.