Clinical application of thoracic small incision in radical operation for lung and esophageal cancer

作     者：Dongming Lu Dong Wang Kaibao Han Chuansheng Zhang Yuan Zhou Hongzhi Sun Gang Xu Jianfeng Zhang 

作者机构：Department of Cardiothoracic Surgery 81 Hospital of PLA Nanjing 210012 China 

出 版 物：《The Chinese-German Journal of Clinical Oncology》 (中德临床肿瘤学杂志（英文版）)

年 卷 期：2009年第8卷第10期

页      面：596-598页

学科分类：090602[农学-预防兽医学] 08[工学] 09[农学] 0906[农学-兽医学] 080102[工学-固体力学] 0801[工学-力学（可授工学、理学学位）] 

主　　题：lung tumor esophageal tumor radical operation thoracic small incision 

摘      要：Objective: The aim of this study was to explore clinical value of thoracic small incision in radical operation for lung and esophageal cancer in assuring same treatment effects with conventional incision. Methods: Collected data of patients was given radical operation for lung and esophageal cancer in our department from January 1, 2006 to January 1, 2007, and performed retrospective analysis, among them, small incision group (improved group) was 143 cases, and conventional group was 167 cases including 6 cases which was changed from small incision to conventional incision in operation. Compared operation time, incision length, intraoperative blood loss, postoperative drainage flow, number of lymph node dissected, recovery time of postoperative upper limb function, postoperative pain, postoperative complications etc. between both groups. Results: Compared with conventional group, intraoperative blood loss, postoperative drainage flow, postoperative pain, recovery time of postoperative upper limb function in improved group was improved significantly, and there was no obvious difference in operation time and number of lymph node dissected between both groups. Conclusion: Small incision in radical operation for lung and esophageal cancer is small trauma, and quick recovery after operation, treatment effects of it is basically similar to that of conventional operation method, however, its application is limited in few cases.