The analysis of clinical prognostic factors of thoracoscopic esophageal resection for esophageal carcinoma
JIANG Zhenqiang
YIN Haijun
XU Fazhen
WU Yizhong
PENG Yong
PENG Xiaojie
Abstract：Objective To investigate the analysis of clinical prognostic factors of thoracoscopic esophageal resection for esophageal carcinoma.Methods Two hundred and forty cases of esophageal cancer clinical data were retrospective ana-lyzed from June 2009 to June 2011.135 cases of esophageal cancer were treated with thoracoscope and 105 cases of esophage-al cancer were treated with radical surgery.The treatment effect of two groups was compared.The survival of two groups was analyzed with Kaplan Meier.The prognostic factors of esophageal cancer thoracoscopic treatment of two groups were analyzed with Cox risk model.Results Amount of bleeding, postoperative hospitalization time of laparoscopic group is less than the thoracotomy group ( t =5.986, t =4.563, P <0.05), postoperative pain score (VAS), postoperative complication rate is lower than the thoracotomy group ( t =6.325, t =10.387, P <0.05), and the 2 groups of patients with operation time, lymph node number, the time of tube there was no significant difference ( P >0.05).2 groups of patients after 3 years, 5 years survival rate had no significant difference (χ2 =1.698,χ2 =1.078, P >0.05).Through single factor analysis, the sur-vival rate of esophageal cancer patients was related to age, tumor size, differentiation degree, lymph node metastasis, TNM stage and adjuvant chemotherapy ( P <0.05).By the analysis of Cox factors, patient age, tumor size, clinical stage, lymph node metastasis is the independent risk of thoracoscopic treatment of esophageal cancer prognosis factors, and postoperative ad-juvant chemotherapy is a protective factor for the prognosis of the patients.Conclusion The treatment of esophageal cancer af-ter thoracic surgery is faster than that of open chest surgery.The 3 year and 5 year survival rate is comparable to that of open chest surgery.Age, tumor size, clinical stage and lymph node metastasis were the independent risk factors for long-term prog-nosis, and postoperative adjuvant chemotherapy was the protective factor for the prognosis of patients.
Keywords：ThoracoscopicThoracic surgeryEsophageal cancerPrognosisRisk factors
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1151-1154 )