Comparison Of Clinical Study For Thoracolaparoscopic Esophagectomy With Two-field Lymph Node Dissection For Esophageal Carcinoma And Open Two-field Lymph Node Dissection Esophagectomy

【Objective】To explore the security, radical and clinical value of thoracoscopic-laparoscopicesophagectomy with two-field lymph node dissection for esophageal cancer by comparing itwith open esophagectomy．【Methods】 The clinical data of410II-III stage esophageal cancerpatients who underwenttwo-field lymph node dissection from January2009to July2012were analyzedretrospectively． Among the patients．217cases received thoracoscopic-laparoscopicesophagectomy (total endoscopy group TEG)and193cases received openesophagectomy(open group OG)．1. Comparison of gender, age, preoperative complications,FEV1, smoking history and characteristics of the tumor between the two groups;2. Comparetwo groups of patients with operation time, intra-operative blood loss, blood transfusionnumber, again surgery number, ICU number of the lymph node, and postoperativehospitalization days;3. Comparison of all the complications between minimally invasivegroup and open group, analysis of the relationship between different operation way and theprognosis of patients, to explore curative effect.【Results】There was no significant differencein general pathological parameters, such asgender, age, etc. Intraoperative blood loss, OG for (240±177ml), TEG for(206±176ml), TEGwas significantly less than the OG(P <0.05);the mean number of dissected lymph nodeincluding the OG is（21.9±11.2)/per, TEG is (26.57±11.5)/per. TEG was significant more thanthe open group, with statistical significance (P <0.05). There are46.6%of the overallpostoperative morbidity rate in OG, with51.6％, there are no statistically significantdifference (P>0.05). But for the single complications, such as pulmonary infection,arrhythmia obviously superior in the open group (P <0.05), anastomotic stricture, hoarse rateis higher in TEG (P <0.05), the difference was statistically significant.