Effects of Different Incisions Thoracotomy for Esophageal Cancer on Pain Lung Function and Complications in Patients with Esophageal Cancer in High Altitude Areas
E Dexiu, YE Zhi, GUO Yanan, et al
Qinghai Provincial People's Hospital, Qinghai Xining 810007, China
Abstract：Objective: To explore the effects of different incisions thoracotomy for esophageal cancer on the pain, lung function and complications of patients with esophageal cancer in middle and high altitude areas. Methods: A retrospective analysis of 136 EC patients in middle and high altitude areas were admitted between August 2016 and November 2020. They were divided into 2 groups according to the surgical method. The control group of 69 cases underwent left posterior lateral thoracotomy, and the observation group of 67 cases underwent right anterolateral thoracotomy + midline upper abdominal incision treatment. The postoperative recovery of various indicators and the improvement of lung function, pain indicators, and visual analogue scale (VAS) were compared between the two groups, and the incidence rate of postoperative complications before discharge were counted. Results: There was no statistical difference in the incidence of complications between the two groups after surgery to before discharge (P>0.05). The intraoperative blood loss of the observation group was less than that of the control group (P<0.05), the intraoperative one-lung ventilation, chest cavity opening, and hospitalization length were shorter than those of the control group (P<0.05). SP, NPY, VAS scores, MVV at various postoperative periods and the improvement of VC, FEV1 and FVC levels were better than those of the control group (P<0.05). Conclusion: The treatment effect of right anterolateral thoracotomy + median incision in the upper abdomen for patients with esophageal cancer in middle and high altitude areas is significant, which can relieve pain and facilitate postoperative lung function recovery.
鄂德琇, 冶治, 郭亚楠, 田生秀. 不同切口开胸食管癌根治术对中高海拔地区食管癌患者疼痛肺功能及并发症的影响[J]. 河北医学, 2021, 27(10): 1670-1674.
E Dexiu, YE Zhi, GUO Yanan, et al. Effects of Different Incisions Thoracotomy for Esophageal Cancer on Pain Lung Function and Complications in Patients with Esophageal Cancer in High Altitude Areas. HeBei Med, 2021, 27(10): 1670-1674.
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2021, Vol. 27 
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