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Application of video-assisted thoracoscopic gastric tubes in esophageal carcinoma with a small incision |
LIANG Feng1, LI Zhenlong1, HOU Haili2, LIU Yujie1, and WANG Zhi1 |
1.Department of Thoracic Surgery,2.Department of Healthcare,the Third Hospital of Beijing Municipal Corps,Chinese People’s Armed Police Forces,Beijing 100141,China |
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Abstract Objective To study the applicability of the video-assisted thoracoscopic gastric tube in esophagectomy with a small incision.Methods Clinical data about 95 esophageal patients who had undergone esophagectomy with a small incision and gastric tubes between July 2012 and December 2015 were retrospectively analyzed.The applicability of this approach was assessed according to the duration of operation,intraoperative blood loss,postoperative complications and pulmonary function.Results The incision was (7.5±2.2)cm long,the duration of operation (210±26)min,the intraoperative blood loss (285.0±106.5)ml. hospital stay (9.2±1.5)d, and the incidence of postoperative complications was 27.4%.The incidence of digestive complications was the highest,accouting for 15.8% of the total.The forced vital capacity was (2.75±0.80)L and forced expiratory volume 1 second was(1.95±0.34)L. Three months after operation, the quality of life of these patients was better than one month after operation (P<0.05).Conclusions Radical esophagectomy with video-assisted thoracoscopic small incision and gastric tubes is characterized by user-friendliness,less trauma,fewer complications, lower expenses, and better quality of life compared with traditional surgical approaches and other approaches.
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