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A Comparative Study between Two Different Dissection Techniques in Management of Esophageal and Esophagogastric Junction Malignant Tumors

机译：食管和食管胃交界处恶性肿瘤两种不同解剖技术的比较研究

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Background:The purpose of this report is improvement of the results of reconstructive operations (RO) in diseases of the esophagus and esophagogastric junction by the current advanced techniques of blood- and lymph-saving surgeries and tools with use of bipolar biactive electrocoagulation.Patients and Methods:Our experience are based on the experience of 123 reconstructive operations performed on the esophagus and esophagogastric junction in the patients (cancer of esophagus -94, cancer of esophagogastric junction – 29) treated in the clinics during the period from 2006 to 2011 in comparison with results obtained in the patients of control group including 82 patients (cancer of esophagus – 62, cancer of esophagogastric junction – 18, achlasia of the cardia -1, esophageal leucoplakia – 1) undergone operation during the period from 2001 to 2005. Fig. 1 shows distribution of the patients in relation to age.Results:Evaluation of the criteria of efficacy of the proposed technique were performed in relation to time of the operative intervention, volume of blood loss, general volume of hemotransfusion, duration of lymphorreia in drenages.The comparisons of the groups of patients in relation to technique of operation in each of studied factors was performed based on analysis of tables of conjugate, for comparison by ordinal and interval predictors the nonparametric analysis was used (test of Mann-whitney). Analysis revealed presence of reliable statistic relation with choice of the technique of operation (χ, p=0,002). The result of regression analysis will confirm significant effect on the development of complications (coefficient B 2,606, standard error 1,061, coefficient of determinate a R~(2)= 0,177 by Hagelkerke, correctly predicted values 90,6%, p=0,0014). Conclusions:The use of bloodless method of operation by application of bipolar bioactive coagulation and dissection. At all stages of operative intervention results in reduction of number of traumaticity of operative intervention, decrease aggressiviness of the operative technique, lowering blood and lymph loss, decrease in duration of the stages of operative interventions, increase in radical degree, reduction of findings of thromboembolic complications and characteristics of infectious complications.
机译：背景：本报告的目的是通过使用双极双活性电凝术的当前先进的节血和淋巴结手术和工具来改善食道和食管胃连接部疾病的重建手术（RO）结果。方法：我们的经验是根据2006年至2011年期间在诊所接受治疗的123例患者的食管和食管胃结节（食管癌-94，食管胃结节癌– 29）进行比较的经验得出的。在2001年至2005年期间接受手术的对照组患者中，包括82例患者（食管癌– 62，食管胃交界处癌– 18，门状疱疹-1，食管白斑– 1）获得了结果。图1显示了患者的年龄分布。结果：对所提出技术的疗效标准进行了评估。与手术时间，失血量，一般输血量，淋巴结清扫的持续时间有关。根据研究对象的分析对各组患者的手术技术进行比较。为了通过序数和区间预测变量进行比较，使用了非参数分析（曼恩-惠特尼检验），以进行共轭表比较。分析表明存在可靠的统计关系以及选择的操作技术（χ，p = 0,002）。回归分析的结果将证实对并发症的发展有显着影响（系数B 2,606，标准误差1,061，Hagelkerke确定a R〜（2）= 0,177的系数，正确预测的值90,6％，p = 0,0014 ）。结论：采用双极生物活性凝血和解剖的无血手术方法。在手术干预的所有阶段都会减少手术干预的创伤次数，降低手术技术的攻击性，减少血液和淋巴损失，减少手术干预阶段的持续时间，增加根治程度，减少血栓栓塞的发现并发症和传染性并发​​症的特征。

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