Clinical Comparison And Discussion Of Minimally Invasive Esophageal Resection And Open Esophageal Resection For Esophageal Carcinoma

Background:Esophageal cancer in the world is a high incidence of malignant tumors of the digestive tract.In China, the incidence of esophageal cancer in various types of malignancies is ranked fifth, while the mortality rate was ranked fourth in all types of cancer,regardless of the number of people suffering from esophageal disease, or because The number of esophageal disease deaths, more than half of the global total.Since the1880 s, the world’ s first successful cases of esophageal cancer surgery since the surgical treatment of esophageal cancer after a long and slow process of evolution,which is by simple excision of tumor progression to esophageal resection of esophageal cancer at the same time systematically The lymph nodes.Surgical resection remains the main treatment options to cure resectable esophageal cancer.Surgical resection of esophageal cancer related ways, the traditional surgical approach under direct vision for esophageal cancer surgery and reconstruction of the digestive tract,specifically including through left, the right chest, the neck, chest, abdomen, such as surgical incisions.Since the1990 s, with the progress of science and technology, the development of medical devices in foreign invasive esophageal resection( minimally invasive esophageetomy,MIE) has been more rapid development, more and more countries and a wide range of application areas, and its development prospects,our country is no exception, with the introduction of instruments and techniques, minimally invasive esophageal resection has also been rapid development.Currently, MIE mainstream thoracoscopic surgical approach is free esophagus, laparoscopic free stomach, esophagus stomach a neck or intrathoracic anastomosis.After the TV chest, laparoscopic esophagectomy combined, two- field lymph node dissection careful, systematic, comprehensive and in- depth clinical studies,can complete, comprehensive and detailed comparison of minimally invasive esophageal resection and traditions Open esophageal resection advantages and disadvantages, which will minimallyinvasive esophageal resection and conventional open resection of esophageal cancer clinical efficacy and safety of the indicators to be compared and analyzed in detail.Objective:Compare and analysis applications chest, joint laparoscopic esophageal resection, two- field lymph node dissection and resection of esophageal cancer were open,two- field lymph node dissection for the treatment of esophageal cancer indicators and data, in order to assess both clinical efficacy and safety,selected for surgical treatment of esophageal cancer specific programs to provide reference and basis for clinical practice.Method:Collected in August2010 and July2013, choose peace Changzhi Medical College Hospital Affiliated surgical oncology patients with esophageal cancer treated180 cases,95 routine chest, combined laparoscopic esophagectomy, patients with two- field lymphadenectomy as micro Chong group,85 routine open esophagectomy, patients with two- field lymph node dissection as an open group,compare and analyze the clinical efficacy of the two groups and related indicators data.Results:Minimally invasive operative time was longer than the open group, two groups systematic lymph node dissection number, the resected specimen margin status,the overall incidence of postoperative complications, postoperative length of hospital stay were not significantly different( P>0.05), but the minimally invasive group blood loss,chest tube time, the incidence of postoperative wound infection, postoperative reflux gastritis, incidence of postoperative pulmonary complications two weeks was significantly lower than the open group( P>0.05),patients with minimally invasive group of patients and open group in the recurrence rate their postoperative period comparisons found no statistically significant difference( P>0.05).Conclusions:Minimally invasive esophagectomy, two- field lymph node dissection and open esophagectomy,two- field lymphadenectomy for the treatment of patients with esophageal cancer can be removed,the two surgical methods have good safety and clinical efficacy,but the micro invasive esophageal resection for patients with body damage caused by the lighter,faster postoperative recovery of the body,reduce intraoperative blood loss, but also more secure and reliable, it is worth vigorously promote and widely used in clinical work.