A Comparative Study Of The Short-term And Long-term Clinical Effects Of Right Chest + Upper Abdomen Approach And Left Chest Approach For Esophageal Squamous Cell Carcinoma

Objective: The choice of chests are lower segment esophageal surgery way, for the middle and lower segment esophageal cancer clinical provide evidence for the selection of surgical procedure. Methods: Methods: retrospective analysis in 235 cases of breast cases of esophageal surgery, according to the operation, it can be divided into the left thoracic incision group(Sweet operation) 110 cases and right chest + abdominal incision group(Ivor- Lewis operation) in 125 cases. Compare two groups of patients with the following indicators: 1. The recent:(1) the operating time(surgical timing from the skin to sew leather end);(2) the chest drainage tube time; The lymph node(3) for both two wild number;(4) postoperative hospital stay,(5) esophageal cut edge positive rate;(6) postoperative perioperative complications, anastomotic leakage, chylothorax, pulmonary complications, anastomotic stricture, laryngeal recurrent nerve injury. 2. Forward:(1) the quality of life: reference QLQOES24 esophageal dedicated volume [1] table and physical function score(Karnofsky) standard for quality of life questionnaire, physical condition, diet, accompanying symptom, general situation, treatment of patients with symptoms related to evaluate five aspects of understanding diet, appetite, appetite, difficulty swallowing, nausea, heartburn, acid reflux, breathing difficulties, can the family responsibility and body weight, and so on and so forth.(2) survival period: 1 year, 3 years, 5 years of cumulative survival rate and cumulative recurrence patients. Results: in the near future: operation time of single incision group was obviously shorter than two incision group, the number of lymph node cleaning significantly less than two incision group, the difference had statistical significance(P < 0.001). Single incision group average of postoperative chest drainage tube indwelling time and shorter hospitalization time in double incision group, but is similar between the two groups had no statistical significance(P > 0.05). Two groups of esophageal cut edge positive rate and the incidence of perioperative complications is no statistical significance(P > 0.05). Forward: life quality of the overall quality of life of the two groups of patients are also falling, most patients postoperative often have poor swallow, gastroesophageal reflux, pain, the symptom such as insomnia, gastrointestinal disorders, but the quality of life index on two incision group were superior to single incision group. The left breast single incision group of patients 1 year cumulative survive.