Comparative analysis of results of surgical treatment of patients with esophageal cancer using conventional and minimally invasive method
Summary. The article is devoted to defining the role of minimally invasive techniques. The data are based on the experience of 127 operations on the esophagus and cardioesophageal zone, made since 2001 to 2013. The patients were divided into two groups: in 53 patients (the control group) mobilization of the thoracic esophagus was performed in using traditional techniques; and in 74 patients (the main group) mediastinal stage of the operation was executed with the use of video-endosurgical tools. Interventions were performed if the localization process was at the level of the mid-lower thoracic department. They carried out the evaluating of the procedure effectiveness according to the time spent on the intervention, the blood loss, the number of bed-days, and the frequency of pulmonary complications. In the control group, the intervention took 363±20 min, in the main group — 303±20 min. The volume of intraoperative blood loss in the control group made 578.2 ml, in the main group — 361±25 ml (p<0.05). They noted the decrease in the frequency of pulmonary complications from 10.5 to 3.4%, and bed-days from 22.2±2.1 to 18.4±2.1 days. Thus, low injury rate, good visualization, early recovery of lung function, reduction of the number of postoperative complications were advantages.
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