Comparison Of Pulmonary Function Effects Between Complete Thoracoscopic-Laparoscopic Surgery And Conventional Thoracotomic Surgery In Radical Resection On Esophageal Carcinoma

Objective: Thoracotomy impacts patient's pulmonary function greatly;the extent of damage of pulmonary function were correlated positively withpostoperative complications. Reduce the influence of the operation onpulmonary function, is more important to diminish the postoperativecomplications and perioperative mortality. Compare the postoperative patientspulmonary function changes between Complete Thoracoscopic-LaparoscopicSurgery (CTLS) with Conventional thoracotomy and two surgical methodsdifference on influence degree. To observe the value of CompleteThoracoscopic-Laparoscopic Surgery on reduction pulmonary function.Methods: Forty three patients with esophageal carcinoma were selectedfrom single thoracic surgery treatment group of the fourth hospital of hebeimedical university between June2011and January2012. Divided into twogroups,21cases including in the CTLS group and22cases in thoracotomy,All patients mensurate pulmonary function in the preoperative andpostoperative10days,30days, the instruments of JAEGER, made inGermany, as monitoring instruments, Detecting the vital capacity (VC) andforced vital capacity (FVC), forced expiratory volume in1second(FEV1) aspulmonary function evaluation data.In order to reduce the error caused byindividual differences, measured in the percentage of the value of expected,The results judgement standard refer to the ATS1986, Apply statisticalsoftware SPSS16.0t test methods to the data in statistical analysis.Results: All patients were operated successfully, without death andserious complications during perioperative period, and CTLS group withoutconverted into thoracotomy,Two groups of patients were recovered from thehospital. 1Statistical analysis shows that two groups patients no significance in thepreoperative.VC(P=0.604), FVC (P=0.654), FEV1(P=0.894), P>0.05.2Statistical analysis shows that0n10days after the operation two groups ofpatients FVC, VC, are statistical significance, P <0.05, but FEV1not. P>0.05, VC (P=0.042), FVC (P=0.032), FEV1(P=0.247),3Statistical analysis shows that on30days after the operation two groups ofpatients are statistical significance, P <0.05, VC (P=0.01), FVC (P=0.01),FEV1(P=0.01),4Compared preoperative with10days after operation of CTLS group that isstatistical significance, P <0.05, VC (P=0.011), FVC (P=0.027), FEV1(P=0.007).Compared preoperative with10days after the operation of thoracotomygroup is statistical significance, P <0.05, VC (P=0.001), FVC (P=0.003),FEV1(P=0.000).Compared preoperative with30days after the operation of CTLS groupis not statistical significance, P>0.05, VC (P=0.200), FVC (P=0.362),FEV1(P=0.051).Compared preoperative with30days after the operation of thoracotomygroup is statistical significance, P <0.05, VC (P=0.001), FVC (P=0.000),FEV1(P=0.000).5Compared10days with30days after the operation of CTLS group isstatistical significance, P <0.05,VC (P=0.029), FVC (P=0.03), FEV1(P=0.039),Compared10days with30days after the operation of thoracotomy groupis statistical significance, P <0.05, VC (P=0.000), FVC (P=0.000), FEV1(P=0.000),Conclusion:1The recent treatment effect CTLS are more favorable than thoracotomysurgery on pulmonary function. But airway resistance affect on patients arenot to difference.2The forward treatment effect CTLS are more favorable than thoracotomy surgery on pulmonary function.3Statistics analysis shows that pulmonary function of all patients on10daysafter operation is declined than preoperative.4Statistics analysis shows that pulmonary function of thoracotomy group on30days after operation is decreased than preoperative.5Statistics analysis shows that pulmonary function of CTLS group on30daysafter operation is not decreased than preoperative. Patients' pulmonaryfunction recovered to preoperative level.6Statistics analysis shows that pulmonary function of all patients30daysafter operation are recovery than10days after operation.