Short-term Efficacy Of Purse Sting Forceps Ivor-Lewis Approach And McKeown Approach In Minimally Invasive Esophagectomy For Middle-lower Section Esophageal Cancer

Objective:Tocomparethe short-term efficacy ofpurse sting forceps Ivor-Lewis approach and McKeown approach in minimally invasive esophagectomy for middle-lower section esophageal cancer.Methods:The clinical data of 106 patients who had middle or lower esophageal cancer and accepted minimally invasive esophagectomy surgeries by our surgical team from January2012 to September 2015 were analyzed,including 41 patients receivingpurse sting forcepsMIILE and 65 receiving MIME.The operation duration,hemorrhage during operation,the number of lymph nodes resected,postoperative hospital stay,extubation time,hospitalization expense were analyzed and compared.Postoperative complications such as incision infection,anastomotic orifice stenosis,anastomotic or tubed stomachfistula,chylothorax,pulmonary infection and recurrent laryngeal nerve injury were also analyzed.Results:The operation duration,postoperative hospital stay and extubation timein the purse sting forceps MIILE group was shorter than those in MIME group(P<0.05).There was no significant difference between the two groups in the amount of hemorrhage during operation,the number of lymph nodes resected and inpatient cost(P>0.05).The rates of anastomotic fistula,pulmonary infection and recurrent laryngeal nerve injury werelower inMIILE group than in MIME group(P<0.05).There are no statistical differences between the two groups in incision infection,anastomotic orifice stenosis and chylothorax(P>0.05).Conclusion:In minimally invasive esophagectomyin middle-lower section,purse sting forceps MIILE is as safe as MIME,but with lower complications.