Correlation Analysis Of Pulmonary Infection After Minimaly Invasive Esophagectomy

Objective To analyze and compare the factors that may lead to pulmonary infection after thoracoscopic laparoscopic radical esophagectomy,in order to improve the clinical work and effect in the future.Methods A total of 90 patients underwent thoracoscopic laparoscopic radical esophageal cancer in our hospital from December 2015 to September 2018.Patients were divided into a pulmonary infection group and a non-combined pulmonary infection group according to whether the patient had a pulmonary infection after surgery.According to the clinical data and related clinical observations,it is possible to determine the factors associated with postoperative pulmonary infection,and to conduct a single factor study and analysis to determine the high-risk causes of postoperative pulmonary infection and logistic Regressive analysis.All relevant factors were compared to determine the independent risk factors for pulmonary infection after thoracoscopic laparoscopic radical esophageal cancer.There are many treatments for esophageal cancer,including surgery,chemotherapy,radiotherapy,radiotherapy and chemotherapy,immunotherapy,and Chinese medicine.The current preferred and primary treatment modality remains surgery.Results A total of 32 patients with 90 patients undergoing thoracoscopic radical esophageal cancer had a pulmonary infection with an incidence of 35.5%.The results of a single factor comparison analysis showed that age,smoking history,preoperative combined underlying disease,and postoperative pulmonary infection were correlated.The data and data of the two groups were statistically significant(P<0.05).There were no correlations between other factors and postoperative pulmonary infection.The clinical data and data of the two groups were not statistically significant(P>0.05).The results of Logistic multivariate analysis indicated that advanced age,smoking history,history of diabetes,history of COPD,hypoproteinemia,recurrent laryngeal nerve injury,and pleural adhesion were the independent high risk of pulmonary infection after thoracoscopic esophageal cancer radical resection.factor.The length of time required for surgery and the amount of intraoperative fluid infusion were excluded from the high-risk factors of independent pulmonary infection after thoracoscopic radical esophageal cancer(P>0.05).Conclusions Senior age,smoking history,surgery There are various underlying diseases,including diabetes,COPD,hypoproteinemia,intraoperative damage to the recurrent laryngeal nerve,and intra-thoracic adhesions,which are independent risk factors for pulmonary infection after thoracoscopic radical esophageal cancer.During the perioperative period,a series of solutions and prevention methods can be targeted for this purpose,which can greatly reduce the incidence of pulmonary infection after esophageal cancer surgery.However,although the current surgical operation and postoperative management are relatively mature,the trauma of esophageal cancer radical surgery is still large,and the incidence of postoperative complications has been high.The hotspots and difficulties of clinical exploration are still postoperative lungs.Prevention and treatment of complications.