Comparison of thoracolaparoscopic and open three-field subtotal esophagectomy for esophageal cancer

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Author:
LIU Bao-xing(Department of Thoracic Surgery, The Affiliated Tumor Hospital, Zhengzhou University,Zhengzhou 450008, China)
LI Yin(Department of Thoracic Surgery, The Affiliated Tumor Hospital, Zhengzhou University,Zhengzhou 450008, China)
QIN Jian-jun(Department of Thoracic Surgery, The Affiliated Tumor Hospital, Zhengzhou University,Zhengzhou 450008, China)
ZHANG Rui-xiang(Department of Thoracic Surgery, The Affiliated Tumor Hospital, Zhengzhou University,Zhengzhou 450008, China)
LIU Xian-ben(Department of Thoracic Surgery, The Affiliated Tumor Hospital, Zhengzhou University,Zhengzhou 450008, China)
SUN Hai-bo(Department of Thoracic Surgery, The Affiliated Tumor Hospital, Zhengzhou University,Zhengzhou 450008, China)
LIU Shi-lei(Department of Thoracic Surgery, The Affiliated Tumor Hospital, Zhengzhou University,Zhengzhou 450008, China)
Journal Title:
Chinese Journal of Gastrointestinal Surgery
Issue:
Volume 15, Issue 09, 2012
DOI:
10.3760/cma.j.issn.1671-0274.2012.09.018
Key Word:
Esophageal neoplasms ; Sub-total esophagectomy ; Thoracoscopy ; Laparoscopy

Abstract: Objective To evaluate the safety and efficacy of thoracolaparoscopic sultotal esophagectomy in the treatment of esophageal cancer.Methods Clinical data of 98 patients with esophageal cancer who underwent thoracolaparoscopic subtotal esophagectomy from March 2009 to October 2011 were retrospectively analyzed.One hundred and five patients were served as controls who underwent open three-field subtotal esophagectomy in the same period.Results There were significant differences between thoracolaparoscopic and open three-field subtotal esophagectomy in blood loss [(85.1±32.8) ml vs.(215.5±60.6) ml],length of stay [(12.7±3.5) d vs.(16.9±4.5) d]),pneumonia (4.1% vs.12.4%,P<O.05),atelectasis (3.1% vs.10.5%,P<0.05),pleural effusion (3.1% vs.10.5%,P<0.05),acute respiratory distress (1.0% vs.7.6%,P<0.05) and arrhvthmia (4.1% vs.12.4%,P<0.05).No significant differences were observed in the number of lymph node harvested,operative time,anastomotic leak,thoracic abscess,chyle chest,re-laparotony,re-thoracotomy,vocal cord paralysis,renal failure,gastric emptying,and mortality (all P>0.05).Conclusion Thoracolaparoscopic subtotal esophagectomy is technically feasible and safe and is associated with less blood loss,less cadiopulmonary complication,and shorter hospital stay.

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