Study on the Application Effect of Right Chest Three Incision and Left Chest Two Incision Approaches in Patients with Middle Thoracic Esophageal Cancer
Objective To compare the effects of right chest three incision and left chest two incision approaches on perioperative indicators and recurrence and metastasis in patients with middle thoracic esophageal cancer.Methods Eighty patients with mid thoracic esophageal cancer who were admitted to Hulunbuir People's Hospital from January 2021 to January 2022 and planned to undergo surgical treatment were selected as the study subjects.Forty patients who underwent surgery through the right chest three incision approach were included in the observation group,while 40 patients who underwent surgery through the left chest two incision approach were included in the control group.The perioperative indicators and recurrence metastasis were compared between the two groups.Results The number of lymph node dissection and intraoperative blood loss in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P＜0.05).There was no statistically significant difference between the two groups in terms of surgical time and indwelling chest tube time(P＞0.05).The postoperative pain Visual Analogue Scale score of the observation group was higher than that of the control group,and the postoperative hospitalization time was shorter than that of the control group,and the differences between the groups were statistically significant(P＜0.05).On the 7th day after surgery,the levels of hypoxia inducible factor alpha,vascular endothelial growth factor,and vascular endothelial growth factor receptor in the serum of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P＜0.05).There was no statistically significant difference in the incidence of postoperative complications between the two groups(P＞0.05).The 2-year recurrence and metastasis rate in the observation group was 20.00%,which was lower than the control group's 42.50%,and the difference was statistically significant(P＜0.05).Conclusion Compared to the left chest two incision approach,the right chest three incision approach can increase the number of lymph node clearance and reduce the risk of postoperative recurrence and metastasis in the treatment of middle thoracic esophageal cancer patients.However,it may increase intraoperative blood loss and postoperative pain.
Esophageal cancerEntry routeRecurrence and metastasis
NETL
NSTL
万方数据
