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Influence of different kinds of surgical resection on operation-related clinical indexes, inflammatory cytokines and complications in elderly patients with esophageal cancer
- Source :
- Pakistan Journal of Medical Sciences. 36
- Publication Year :
- 2020
- Publisher :
- Pakistan Journal of Medical Sciences, 2020.
-
Abstract
- Objective: To investigate the effects of two kinds of surgical resection schemes, a conventional open surgical scheme and a thoracolaparoscopic esophagectomy surgical scheme, on operation-related clinical indexes, inflammatory cytokines and complications in elderly patients with esophageal cancer. Methods: A total of 100 elderly patients with esophageal cancer seen in the Department of Cardiothoracic Vascular Surgery, Renmin Hospital, Hubei University of Medicine, from June 2014 to June 2016 were enrolled and randomly divided into two groups, including a control group (50 patients) with a conventional open surgical scheme and an observation group (50 patients) with a thoracolaparoscopic esophagectomy surgical scheme. The operation time, the amount of bleeding during the operation, the incision length, the number of lymph nodes dissected, the hospitalization time, the HAMA scores and HAMD scores before and after the operation, the PSQI scores, SF-36 scores and levels of PCT, CRP and IL-6 after the operation, the recurrence and metastasis rates and the mortality at follow-up and the incidence of related complications of both groups were compared. Results: The operation time, the amount of bleeding during the operation, the incision length and the hospitalization time in the observation group were significantly less than those in the control group (p0.05). The complication incidence after the operation in the observation group was significantly lower than that in the control group (p
- Subjects :
- medicine.medical_specialty
medicine.diagnostic_test
business.industry
Incidence (epidemiology)
medicine.medical_treatment
General Medicine
Esophageal cancer
Vascular surgery
medicine.disease
Surgery
03 medical and health sciences
0302 clinical medicine
Esophagectomy
030220 oncology & carcinogenesis
Hamd
medicine
Thoracoscopy
030211 gastroenterology & hepatology
Laparoscopy
business
Complication
Subjects
Details
- ISSN :
- 1681715X and 1682024X
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- Pakistan Journal of Medical Sciences
- Accession number :
- edsair.doi...........0261853943d93ad00e3a79c884632506