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Comparison of postoperative complications between different operation methods for esophageal cancer

机译：食管癌不同操作方法术后并发症的比较

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We explored the selection of surgical method and differences in postoperative complications in patients with esophageal cancer (EC). The data of 434 patients with EC who underwent thoracic surgery at the Jiangsu Provincial People's Hospital between January 2011 and December 2016 were collected. Patients were divided into three groups: Sweet surgery (143 cases), Ivor-Lewis surgery (232 cases), and minimally invasive esophagectomy (MIE, 59 cases). The number of postoperative days, number of lymph nodes dissected, and incidence of pulmonary infection, serous membrane fluid, arrhythmia, chylous fistula, gastric emptying dysfunction, and anastomotic leakage were recorded. A statistically significant number of female stage I patients with upper EC underwent MIE (P??0.05). A greater number of lymph nodes were dissected in the Ivor-Lewis group compared to the other groups (P??0.05). Clinically, MIE is often selectively used for women with upper and mid-early EC, especially in stage I. In our sample, more lymph nodes were dissected in the Ivor-Lewis than in the MIE group, which can reduce recurrence and improve the survival rate. Ivor-Lewis surgery is often used in mid-lower and terminal EC, while MIE is often used in upper and mid-early EC. Compared to the other surgical methods, MIE does not increase the risk of postoperative complications. The gradual maturation of MIE technology will further expand indications and increase the number of lymph nodes dissected. ? 2019 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.
机译：我们探讨了食管癌患者术后并发症的外科方法和差异的选择。收集了2011年1月至2016年1月至2016年12月江苏省人民医院接受胸外科的434例EC患者。患者分为三组：甜术（143例），IVOR-Lewis手术（232例），和微创食管切除术（MIE，59例）。记录了术后天数，淋巴结的数量，以及肺部感染，浆膜膜流体，心律失常，乳糜瘘，胃排空功能障碍以及吻合漏血的发病率。统计上大量的女性阶段I患者患有Upm Ec接受的mie（p ?? 0.05）。与其他基团相比，在IVOR-Lewis组中解开了更多数量的淋巴结（P？<β05）。临床上，MIE经常选择性地用于中期和中期EC的女性，特别是在I阶段。在我们的样本中，在IVOR-Lewis中对MIE组进行了更多的淋巴结，这可以减少复发并改善存活率速度。 IVOR-Lewis手术通常用于中下和末端EC，而MIE通常用于上海EC。与其他手术方法相比，MIE不会增加术后并发症的风险。 MIE技术的逐渐成熟将进一步扩大适应症并增加解剖的淋巴结的数量。 ？ 2019年的作者。中国肺部肿瘤集团和约翰瓦里和儿子澳大利亚发表的胸癌

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