Effects of Total Thoracoscopic Assisted Radical Surgery and Traditional Surgery on Patients with Esophageal Cancer
Objective To compare the effects of total thoracoscopic assisted radical surgery and traditional surgery on patients with esophageal cancer.Methods A total of 86 patients with esophageal cancer admitted to the hospital from September 2021 to September 2023 were selected as the study objects and divided into a control group and an observation group using a random number table method,with 43 cases in each group.The control group underwent traditional surgery,while the observation group underwent total thoracoscopic assisted radical surgery.The perioperative indicators,stress response,lung function,and occurrence of complications between two groups were compared.Results The intraoperative blood loss in the observation group was(186.95±19.72)mL,which was lower than(275.63±23.48)mL the control group,the surgical time was(191.41±16.35)min and hospital stay was(10.56±1.24)d,which were shorter than(210.56±19.83)min and(13.21±1.89)d in the control group's,the incidence of complications was 4.65%,which was lower than 18.60%control group's,the differences between the groups were statistically significant(P＜0.05).Three days after surgery,the levels of norepinephrine and cortisol in the observation group were(258.84±21.36)ng/L and(170.63±13.58)mmol/L,both lower than(306.75±25.69)ng/L and(219.76±16.42)mmol/L in the control group's,forced lung capacity was(3.01±0.51)L,forced expiratory volume at the first second was(2.39±0.48)L,all greater than(2.39±0.48)L,(1.45±0.37)L in the control group,the peak expiratory flow was(3.29±0.34)L/s,which was higher than(2.53±0.30)L/s in the control group,the differences between groups were statistically significant(P＜0.05).Conclusion Thoracoscopic assisted radical surgery has advantages such as minimal trauma and fast postoperative recovery,which can reduce stress reactions,minimize lung function damage to esophageal cancer patients,and have fewer complications.
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