Evaluation of Short-term Quality of Life in Patients with Esophageal Cancer after Video-assisted Thoracoscopic Surgical Esophagectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LUYong-guo , MEIBo , WANZhi-yu , LIXiao-ming , YINGJun-tai , ZHOUXiao-wei , MUHai-de

Department of Cardiothoracic Surgery, Guangyuan Central Hospital, Guangyuan 628000 Sichuan, P. R. China;

Corresponding?author：

Keywords：

Esophageal cancer; Quality of life; Thoracoscopes

DOI：

10.7507/1007-4848.20160059

Video：

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Objective To evaluate the impact of video-assisted thoracoscopic surgery (VATS) esophagectomy and routine operation on the short-term quality of life in patients with esophageal cancer. Methods From January 2012 through January 2014, 157 esophageal cancer patients were classified into a VATS group (n=42) and a routine operation group (n=115) in our hospital. All patients in the two groups completed the Chinese versions of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (QLQ)-C30 and QLQ-OES18 at one, six and 12 months after operation separately. Results At the end of 6, 12 months after operation, the evaluation on global health status was higher in the VATS group(68.8±12.3 vs. 62.7±13.7, P<0.05; 76.2±10.4 vs. 68.6±8.8, P<0.05). At the end of 1, 6, 12 months after operation, the scores of symptom pain were less significantly in the VATS group than those in the routine operation group (P<0.05). One month after operation, the score of active ability in the VATS group was higher (P<0.05). At the end of 6, 12 months after operation, the score of emotional function and social role in the VATS group was higher (P<0.05). At the end of 12 months after operation, the score of role function and cognitive function in the VATS group was also higher (P<0.05). Conclusion VATS is of better effect on improving short-term quality of life of esophageal cancer patients compared with routine operation.

Citation： LUYong-guo, MEIBo, WANZhi-yu, LIXiao-ming, YINGJun-tai, ZHOUXiao-wei, MUHai-de. Evaluation of Short-term Quality of Life in Patients with Esophageal Cancer after Video-assisted Thoracoscopic Surgical Esophagectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(3): 248-252. doi: 10.7507/1007-4848.20160059 Copy

1.	Blazeby JM, Williams MH, Brookes ST, et al. Quality of life measurement in patients with oesophageal cancer. Gut, 1995, 37(4): 505-508.
2.	牛中喜, 陳龍奇, 等. NCCN2013食管癌臨床實踐指南解讀. 中國胸心血管外科臨床雜志, 2014, 21(1): 5-6.
3.	關慶民, 杜賈軍, 孟龍, 等. 手輔助電視胸腔鏡食管癌切除術后患者近期生命質量的研究.中華外科雜志, 2007, 45(10): 688-691.
4.	Zhang J, Xu M, Guo M, et al. Analysis of postoperative quality of life in patients with middle thoracic esophageal carcinoma undergoing minimally invasive Ivor-Lewis esophagectomy. Zhonghua Wei Chang Wai Ke Za Zhi, 2014, 17(9): 915-919.
5.	Hjermstad M J, Fossa S D, Bjordal K, et al. Test/retest study of the European organization for research and treatment of cancer core quality-of-life questionnaire. J Clin Oncol, 1995, 13(5): 1249-1254.
6.	Shen H, Wang J, Li W, et al. Assessment of health-related quality of life of patients with esophageal squamous cell carcinoma following esophagectomy using EORTC quality of life questionnaires. Mol Clin Oncol, 2015, 3(1): 133-138.
7.	Aaronson NK, Meyerowitz BE, Bard M, et al. Quality of life research in oncology. Past achievements and future priorities. Cancer, 1991, 67(3 Suppl): 839-843.
8.	Paiva JM, Wright GM. Hand-assisted thoracoscopic Surgery causes less postoperative pain than limited thoracotomy after cessation of epidural analgesia. Heart Lung Circ, 2004, 13(4): 374-378.
9.	付茂勇, 趙雍凡, 閻齊, 等. 食管、賁門癌切除食管胃分層吻合術患者生命質量評價. 中國胸心血管外科臨床雜志, 2003, 2(10): 101-104.
10.	Verhage RJ, Hazebroek EJ, Boone J, et al. Minimally invasive surgery compared to open procedures in esophagectomy for cancer: a systematic review of the literature. Minerva Chir, 2009, 64(2):135-46.
11.	Guo M, Xie BY, Sun XY, et al. A comparative study of the therapeutic effect in two protocols: video-assisted thoracic surgery combined with laparoscopy versus right open transthoracic esophagectomy for esophageal cancer management. Chinese-German J Clin Oncol, 2013, 2(12): 68-71.
12.	Djourno XB, Michelet P, Avaro JP, et al. Respiratory complications after esophegectomy for cancer. Rev Mal Respir, 2008, 25(6): 683-694.
13.	Fang WT, Kao H. Anslysis of pulmonary complications after three-field lymph node dissection for esophageal cancer. Ann Thorac Surg, 2003, 76(3): 903-908.
14.	張紹嵐, 常唐喜, 劉紅旗. 食管癌患者生命質量及其影響因素. 中國老年學雜志, 2010, 30(21): 3081-3083.
15.	張廣云, 王軍業, 李詠松, 等. 胸腔鏡輔助與傳統根治術對老年食管癌術后近期生活質量的影響. 中國內鏡雜志, 2013, 8(19): 832-837.
16.	Dhamija A, Rosen JE, Dhamija A, et al. Learning curve to lymph node resection in minimally invasive esophagectomy for cancer. Innovations (Phila), 2014, 9(4): 286-291.
17.	王文憑, 陳龍奇. 食管癌外科治療的現狀與展望. 中國胸心血管外科臨床雜志, 2011, 1(18): 58-65.
18.	Mouroux J, Venissac N, Leo F, et al. Surgical treatment of diaphragmatic eventration using video-assisted thoracic surgery: a prospective study. Ann Thorac Surg, 2005, 79(1): 308-312.
19.	高曉松, 陳剛, 唐繼鳴, 等. 食管-胃頸部側側機械吻合法在三切口食管癌切除術中的應用.中國癌癥雜志, 2010, 2(20): 130-133.
20.	李京沛, 譚黎杰, 王群, 等. 三切口食管癌根治術:胸腔鏡與開放手術的回顧性研究. 中華胸心血管外科雜志, 2013, 6(29): 339-361.

1. Blazeby JM, Williams MH, Brookes ST, et al. Quality of life measurement in patients with oesophageal cancer. Gut, 1995, 37(4): 505-508.
2. 牛中喜, 陳龍奇, 等. NCCN2013食管癌臨床實踐指南解讀. 中國胸心血管外科臨床雜志, 2014, 21(1): 5-6.
3. 關慶民, 杜賈軍, 孟龍, 等. 手輔助電視胸腔鏡食管癌切除術后患者近期生命質量的研究.中華外科雜志, 2007, 45(10): 688-691.
4. Zhang J, Xu M, Guo M, et al. Analysis of postoperative quality of life in patients with middle thoracic esophageal carcinoma undergoing minimally invasive Ivor-Lewis esophagectomy. Zhonghua Wei Chang Wai Ke Za Zhi, 2014, 17(9): 915-919.
5. Hjermstad M J, Fossa S D, Bjordal K, et al. Test/retest study of the European organization for research and treatment of cancer core quality-of-life questionnaire. J Clin Oncol, 1995, 13(5): 1249-1254.
6. Shen H, Wang J, Li W, et al. Assessment of health-related quality of life of patients with esophageal squamous cell carcinoma following esophagectomy using EORTC quality of life questionnaires. Mol Clin Oncol, 2015, 3(1): 133-138.
7. Aaronson NK, Meyerowitz BE, Bard M, et al. Quality of life research in oncology. Past achievements and future priorities. Cancer, 1991, 67(3 Suppl): 839-843.
8. Paiva JM, Wright GM. Hand-assisted thoracoscopic Surgery causes less postoperative pain than limited thoracotomy after cessation of epidural analgesia. Heart Lung Circ, 2004, 13(4): 374-378.
9. 付茂勇, 趙雍凡, 閻齊, 等. 食管、賁門癌切除食管胃分層吻合術患者生命質量評價. 中國胸心血管外科臨床雜志, 2003, 2(10): 101-104.
10. Verhage RJ, Hazebroek EJ, Boone J, et al. Minimally invasive surgery compared to open procedures in esophagectomy for cancer: a systematic review of the literature. Minerva Chir, 2009, 64(2):135-46.
11. Guo M, Xie BY, Sun XY, et al. A comparative study of the therapeutic effect in two protocols: video-assisted thoracic surgery combined with laparoscopy versus right open transthoracic esophagectomy for esophageal cancer management. Chinese-German J Clin Oncol, 2013, 2(12): 68-71.
12. Djourno XB, Michelet P, Avaro JP, et al. Respiratory complications after esophegectomy for cancer. Rev Mal Respir, 2008, 25(6): 683-694.
13. Fang WT, Kao H. Anslysis of pulmonary complications after three-field lymph node dissection for esophageal cancer. Ann Thorac Surg, 2003, 76(3): 903-908.
14. 張紹嵐, 常唐喜, 劉紅旗. 食管癌患者生命質量及其影響因素. 中國老年學雜志, 2010, 30(21): 3081-3083.
15. 張廣云, 王軍業, 李詠松, 等. 胸腔鏡輔助與傳統根治術對老年食管癌術后近期生活質量的影響. 中國內鏡雜志, 2013, 8(19): 832-837.
16. Dhamija A, Rosen JE, Dhamija A, et al. Learning curve to lymph node resection in minimally invasive esophagectomy for cancer. Innovations (Phila), 2014, 9(4): 286-291.
17. 王文憑, 陳龍奇. 食管癌外科治療的現狀與展望. 中國胸心血管外科臨床雜志, 2011, 1(18): 58-65.
18. Mouroux J, Venissac N, Leo F, et al. Surgical treatment of diaphragmatic eventration using video-assisted thoracic surgery: a prospective study. Ann Thorac Surg, 2005, 79(1): 308-312.
19. 高曉松, 陳剛, 唐繼鳴, 等. 食管-胃頸部側側機械吻合法在三切口食管癌切除術中的應用.中國癌癥雜志, 2010, 2(20): 130-133.
20. 李京沛, 譚黎杰, 王群, 等. 三切口食管癌根治術:胸腔鏡與開放手術的回顧性研究. 中華胸心血管外科雜志, 2013, 6(29): 339-361.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Evaluation of Short-term Quality of Life in Patients with Esophageal Cancer after Video-assisted Thoracoscopic Surgical Esophagectomy

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