Clinical research on the feasibility of single mediastinal drainage tube after thoracoscopic and laparoscopic esophagectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANG Zhiqiang ,  LUO Junhui

Department of Cardiothoracic Surgery, 150^th Central Hospital of PLA, Luoyang, 471003, Henan, P.R.China;

Corresponding?author：

LUO Junhui, Email: 185253502@qq.com

Keywords：

Thoracoscopy; esophagectomy; mediastinal drainage tube; complications

DOI：

10.7507/1007-4848.201701046

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the feasibility of single mediastinal drainage tube in treatment of esophageal carcinoma after thoracoscopic combined with laparoscopic surgery. Methods There were 90 esophagus cancer patients treated by surgery in our hospital between June 2015 and October 2016. The patients were allocated into two groups including a single-drainage tube group and a two-drainage tube group. There were 45 patients with 24 males and 21 females at age of 48-78 years in the two-drainage tube group and 45 patients with 23 males and 22 females at age of 45-84 years in the single-drainage tube group.The clinical effect of the two groups was compared. Results There was no statistical difference in gender and age, bleeding amount and surgical duration in operation, thoracic drainage amount, incidence of atelectasis, pneumothorax, and encapsulated effusion between the two groups(P<0.05). Discussion Single-drainage tube group displays less postoperative pain, faster recovery, and more convenient clinical care without complication.

Citation： WANG Zhiqiang, LUO Junhui. Clinical research on the feasibility of single mediastinal drainage tube after thoracoscopic and laparoscopic esophagectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(1): 71-73. doi: 10.7507/1007-4848.201701046 Copy

1.	Westermaier T, Vince GH, Meinhardt M, et al. Arachnoid cysts of the fourth ventricle-short illustrated review. Acta Neurochir (Wien), 2010, 152(1): 119-124.
2.	Decker G, Coosemans W, De Leyn P, et al. Minimally invasive esophagectomy for cancer. Eur J Cardiothorac Surg, 2009, 35(1): 13-20.
3.	Blazeby JM, Brookes ST, Alderson D. The prognostic value of quality of life scores during treatment for oesophageal cancer. Gut, 2001, 49(2): 227-230.
4.	朱成楚, 陳仕林, 葉敏華. 電視胸腔鏡下行食管癌手術胸部淋巴結清掃. 中華外科雜志, 2005, 43(10): 628-630.
5.	魯勇國, 梅波, 萬志渝, 等. 胸腔鏡食管癌切除術后患者近期生命質量的評價. 中國胸心血管外科臨床雜志, 2016, 23(3): 248-252.
6.	朱勝, 王鴻, 隨志輝, 等. 縱隔、胸腔雙引流在防治食管癌手術后并發癥發生中的應用. 中國胸心血管外科臨床雜志, 2014, 21(6): 833-835.
7.	Higashino M, Takemura M. Indication and limitation of endoscopic surgical procedure for esophageal cancer. Gan To Kagaku Ryoho, 2004, 31(10): 1481-1484.
8.	Pham TH, Perry KA, Dolan JP, et al. Comparison of perioperative outcomes after combined thoracoscopic-laparoscopic esophagectomy and open Ivor-Lewis esophagectomy. Am J Surg, 2010, 199(5): 594-598.
9.	王群, 蔣偉. 腔鏡食管癌根治術在食管癌治療中的應用. 中華胃腸外科雜志, 2011, 14(9): 683-685.
10.	Puntambekar SP, Agarwal GA, Joshi SN, et al. Thoracolaparoscopy in the lateral position for esophageal cancer: the experience of a single institution with 112 consecutive patients. Surg Endosc, 2010, 24(10): 2407-2414.
11.	Sgourakis G, Gockel I, Radtke A, et al. Minimally invasive versus open esophagectomy: meta-analysis of outcomes. Dig Dis Sci, 2010, 55(11): 3031-3040.
12.	Nagpal K, Ahmed K, Vats A, et al. Is minimally invasive surgery beneficial in the management of esophageal cancer? Ameta-analysis. Surg Endosc, 2010, 24(7): 1621-1629.
13.	Luketich JD, Pennathur A, Franchetti Y, et al. Minimally invasive esophagectomy: results of a prospective phase II multicenter trial-the eastern cooperative oncology group (E2202) study. Ann Surg, 2015, 261(4): 702-707.
14.	Avendano CE, Flume PA, Silvestri GA, et al. Pulmonary complications after esophagectomy. Ann Thorac Surg, 2002, 73(3): 922-926.
15.	余鑫, 劉懿, 杜銘, 等. 電視胸腹腔鏡聯合食管癌切除術38例臨床分析. 中國胸心血管外科臨床雜志, 2015, 22(5): 467-470.
16.	周銀杰, 趙國芳, 沈海波, 等. 縱膈引流管在食管癌、賁門癌術后吻合口瘺治療中的應用. 現代實用醫學, 2016, 28(2): 184-186.
17.	Mokashi S, Rajab TK, Lee LY, et al. Extracorporeal membrane oxygenation support after Ivor-Lewis esophagectomy for esophageal adenocarcinoma. Ann Thorac Surg, 2014, 97(3): 1073-1075.
18.	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, 10(2): 101-104.
19.	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): 135-146.

1. Westermaier T, Vince GH, Meinhardt M, et al. Arachnoid cysts of the fourth ventricle-short illustrated review. Acta Neurochir (Wien), 2010, 152(1): 119-124.
2. Decker G, Coosemans W, De Leyn P, et al. Minimally invasive esophagectomy for cancer. Eur J Cardiothorac Surg, 2009, 35(1): 13-20.
3. Blazeby JM, Brookes ST, Alderson D. The prognostic value of quality of life scores during treatment for oesophageal cancer. Gut, 2001, 49(2): 227-230.
4. 朱成楚, 陳仕林, 葉敏華. 電視胸腔鏡下行食管癌手術胸部淋巴結清掃. 中華外科雜志, 2005, 43(10): 628-630.
5. 魯勇國, 梅波, 萬志渝, 等. 胸腔鏡食管癌切除術后患者近期生命質量的評價. 中國胸心血管外科臨床雜志, 2016, 23(3): 248-252.
6. 朱勝, 王鴻, 隨志輝, 等. 縱隔、胸腔雙引流在防治食管癌手術后并發癥發生中的應用. 中國胸心血管外科臨床雜志, 2014, 21(6): 833-835.
7. Higashino M, Takemura M. Indication and limitation of endoscopic surgical procedure for esophageal cancer. Gan To Kagaku Ryoho, 2004, 31(10): 1481-1484.
8. Pham TH, Perry KA, Dolan JP, et al. Comparison of perioperative outcomes after combined thoracoscopic-laparoscopic esophagectomy and open Ivor-Lewis esophagectomy. Am J Surg, 2010, 199(5): 594-598.
9. 王群, 蔣偉. 腔鏡食管癌根治術在食管癌治療中的應用. 中華胃腸外科雜志, 2011, 14(9): 683-685.
10. Puntambekar SP, Agarwal GA, Joshi SN, et al. Thoracolaparoscopy in the lateral position for esophageal cancer: the experience of a single institution with 112 consecutive patients. Surg Endosc, 2010, 24(10): 2407-2414.
11. Sgourakis G, Gockel I, Radtke A, et al. Minimally invasive versus open esophagectomy: meta-analysis of outcomes. Dig Dis Sci, 2010, 55(11): 3031-3040.
12. Nagpal K, Ahmed K, Vats A, et al. Is minimally invasive surgery beneficial in the management of esophageal cancer? Ameta-analysis. Surg Endosc, 2010, 24(7): 1621-1629.
13. Luketich JD, Pennathur A, Franchetti Y, et al. Minimally invasive esophagectomy: results of a prospective phase II multicenter trial-the eastern cooperative oncology group (E2202) study. Ann Surg, 2015, 261(4): 702-707.
14. Avendano CE, Flume PA, Silvestri GA, et al. Pulmonary complications after esophagectomy. Ann Thorac Surg, 2002, 73(3): 922-926.
15. 余鑫, 劉懿, 杜銘, 等. 電視胸腹腔鏡聯合食管癌切除術38例臨床分析. 中國胸心血管外科臨床雜志, 2015, 22(5): 467-470.
16. 周銀杰, 趙國芳, 沈海波, 等. 縱膈引流管在食管癌、賁門癌術后吻合口瘺治療中的應用. 現代實用醫學, 2016, 28(2): 184-186.
17. Mokashi S, Rajab TK, Lee LY, et al. Extracorporeal membrane oxygenation support after Ivor-Lewis esophagectomy for esophageal adenocarcinoma. Ann Thorac Surg, 2014, 97(3): 1073-1075.
18. 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, 10(2): 101-104.
19. 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): 135-146.

Previous Article
Application of three-dimensional printing technology to precise hepatectomy
Next Article
Application of three-dimensional printing technology to precise hepatectomy

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical research on the feasibility of single mediastinal drainage tube after thoracoscopic and laparoscopic esophagectomy

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content