VATS Combined Laparoscopic Resection Of Esophageal Cancer Compared With Conventional Open Thoracic Surgery

[Objective]VATS combined laparoscopic resection of esophageal cancer was retrospectively analyzed in alternatives to traditional three incision thoracotomy surgical treatment in effective, safety and feasibility.[Methods]Collect our 03-2011 of esophageal cancer patients admitted in March 2013, divided into the MIE (minimal invasive esophagectomy) group and OE (open esophagectomy) group, Compared two groups of patients hospitalization expenses, operation time, bleeding amount and number of lymph nodes, hospitalization time, postoperative drainage volume, postoperative complications, such as anastomotic fistula, pulmonary infection, incision infection, hoarseness, chylothorax), and long-term survival rate.[Results]MIE group of patients with intraoperative bleeding amount and number of lymph nodes, hospitalization time, postoperative drainage volume, incision infection, pulmonary infection was significantly better than the OE group. But at the cost of hospitalization and the operative time, MIE group were higher than that in the OE group of patients, all the differences are significant difference, (P<0.05), the difference was statistically significant. There was no significant difference between the anastomotic fistulas, chylothorax, and hoarseness in two groups. After two years of follow-up, there was no significant difference in survival rate between the two groups.[Conclusion]Compared to traditional three incision thoracotomy surgery, video-assisted thoracic surgery (VATS) combined with Laparoscopy shows less intraoperative blood loss,quicker recovery, less complications, and better clearance of lymph nodes with comparable efficacy, longer operation time and much more surgery cost, but the same long-term efficacy.