|Table of Contents|

A comparison of postoperative complications after different approaches in patients with esophageal carcinoma

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2017 05
Page:
738-740
Research Field:
Publishing date:

Info

Title:
A comparison of postoperative complications after different approaches in patients with esophageal carcinoma
Author(s):
Wu JiayuanRui YufengGeng GengZhang Lei
Department of Cardiothoracic Surgery,the Second People's Hospital of Wuhu City,Anhui Wuhu 241000,China.
Keywords:
surgical approachesesophageal cancercomplications
PACS:
R730.56;R735.1
DOI:
10.3969/j.issn.1672-4992.2017.05.017
Abstract:
Objective:To compare postoperative complications of esophageal cancer treated with three surgical approaches.Methods:Totally 117 cases of esophageal cancer were divided into group A (one incision in the left chest),group B (two incisions in right chest and abdomen),group C (three incisions in left neck,right chest and abdomen).The postoperative complications including arrhythmia,anastomotic leakage,chylothorax,pulmonary function insufficiency,intrathorax or abdomen cavity bleeding,pulmonary embolism were compared.Results:There was no difference among the three groups in arrhythmia,entorrhagia,chylothorax,pulmonary function insufficiency,pulmonary embolism (P>0.05).However there was a significant differece in anastomotic leakage between group A with C and B (P=0.014,P=0.038).Conclusion:The incidence of anastomotic leake was higher in the three incisions than that of one or two incisions approaches.

References:

[1]Yoshida N,Watanabe M,Baba Y,et al.Risk factors for pulmonary complications after esophagectomy for esophageal cancer[J].Surg Today,2014,44(3):526-532.
[2]Yang JX,Chen XF,Wang ZW,et al.Efficacy of different ways of left and right transthoracic approaches on patients with middle thoracic esophageal cancer[J].China Modern Doctor,2014,52(27):5-7.[杨景先,陈晓峰,王侦伟,等.左右胸不同路径手术对胸中段食管癌患者的治疗效果研究[J].中国现代医生,2014,52(27):5-7.]
[3]Feng JF,Huang Y,Liu JS.Combination of neutrophil lymphocyte ratio and platelet lymphocyte ratio is a useful predictor of postoperative survival in patients with esophageal squamous cell carcinoma[J].Oncol Targets Ther,2013,6:1605-1612.
[4]Zhang GL.The clinical analysis of 209 cases for the left thoracic esophagectomy in the treatment of esophageal cancer[J].Shandong Med J,2015,55(17):78.[张国良.经左胸入路食管癌切除术治疗胸段食管癌209 例临床分析[J].山东医药,2015,55(17):78.]
[5]Wang Y.The clinical analysis of 46 cases received via single left thoracic incision in the treament of esophageal cancer[J].China Prac Med,2016,11(2):54-55.[王月.左侧单切口开胸手术治疗食管癌46 例临床疗效分析[J].中国实用医药,2016,11(2):54-55.]
[6]Li SM,Jiang P,Xiang Y,et al.Protease-activated receptor (PAR) 1,PAR 2 and PAR 4 expressions in esophageal squamous cell carcinoma[J].Zoological Res,2014,35:420-425.
[7]Zhou Y,Wang D,Han KB,et al.Individualized selection of the operative approaches to thoracic esophageal carcinoma[J].Chin Clin Oncol,2012,17(1):32-35.[周源,汪栋,韩开宝,等.胸段食管癌手术径路的个体化选择[J].临床肿瘤学杂志,2012,17(1):32-35.]
[8]Liu YS,Wu QC,Bao F.The contrastive study of sweet and Ivor-Lewis operation methods for patients with esophagus cancer[J].Chin J Crit Care Med,2015,35(7):107-108.[刘一胜,吴其琛,鲍方.Sweet与Ivor-Lewis入路行胸下段食管癌手术的对比研究[J].中国急救医学,2015,35(7):107-108.]
[9]Hu HJ,Zhang LG,Wang ZH,et al.Comparative study of postoperative complications in esophageal cancer patients treated with different operation methods[J].Pract J Cancer,2014,29(4):435-438.[胡红军,张立国,王振华,等.食管癌患者不同手术方案术后并发症的对比研究[J].实用癌症杂志,2014,29(4):435-438.]
[10]Zhang K,Hu GF,Li HM.The clinical analysis of 648 cases in the surgical treatment of esophageal and cardia cancer[J].China Prac Med,2013,8(7):88-90.[张柯,胡高峰,李慧敏.食道贲门癌手术治疗648例临床分析[J].中国实用医药,2013,8(7):88-90.]
[11]Schweigert M,Solymosi N,Dubecz A,et al.One decade of experience with endoscopic stenting for intrathoracic anastomotic leakage after esophagectomy:brilliant breakthrough or flash in the pan[J].Am Surg,2014,80(8):736-745.
[12]Cormack O,Zaborowski A,King S,et al.New-onset atrial fibrillation post-surgery for esophageal and junctional cancer:incidence management and impact on short-and long-term outcomes[J].Ann Surg,2014,260(5):772-778.
[13]Zhang GT,Lv YX,Li HM.Therapeutic effect of neck-chest-abdomen tri-incision for mid-upper esophageal cancer[J].Clin Med,2014,34(1):59-60.[张根亭,吕玉霞,李慧敏.三切口根治术治疗中上段食管癌疗效观察[J].临床医学,2014,34(1):59-60.]
[14]Zhou Y,Wang D,Han KB,et al.The pathogenesis and preventive measures of reintubation in patients undergoing esophagectomy[J].Chin Clin Oncol,2015,20(8):738-740.[周源,汪栋,韩开宝,等.食管癌根治术后再次气管插管的原因与对策探讨[J].临床肿瘤学杂志,2015,20(8):738-740.]
[15]Mokashi S,Rajab TK,Lee LY,et al.Extracorporeal membrane oxygenation support after Ivor-Lewis esophagectomy for esophageal adenocarcinoma[J].Ann Thorac Surg,2014,97(3):1073-1075.
[16]Lu JB,Qi CH,Guo JC.Clinical effete of low molecular weight heparin calcium on prevention of perioperative complications in elderly patients with esophageal and cardiac carcinoma[J].Chin Community Doctors,2016,32(7):28-30.[卢家彬,齐晨辉,郭金成.低分子肝素钙预防高龄食管癌、贲门癌患者围术期并发症的临床效果[J].中国社区医师,2016,32(7):28-30.]

Memo

Memo:
-
Last Update: 2017-01-26