Authors: Yang Yu Zhou Wang XiangYan Liu XiaoFeng Zhu QingFu Chen
Publish Date: 2009/12/30
Volume: 34, Issue: 2, Pages: 272-276
Abstract
A total of 167 patients with middle thoracic esophageal squamous cell carcinoma were included in the study including 102 patients who underwent IvorLewis esophagectomy and another 65 who underwent dualincision esophagectomy through the left chest and neck Dualincision The Kaplan–Meier method was used to calculate the survival rate and Cox regression analysis was performed to identify prognostic risk factorsPerioperative complications occurred in 35 patients 21 The incidence rate of recurrent laryngeal nerve injury and anastomotic leakage was higher in the Dualincision group p 005 and the incidence rate of gastric retention was higher in the IvorLewis group However there were no statistically significant differences The 3year local recurrence rate was 373 in the IvorLewis group and 40 in the Dualincision group p 005 The overall 5year survival rate was 346 the rates of the IvorLewis group and the Dualincision group were 360 and 323 respectively p 005 The Cox analysis indicated that the pTNM staging was an independent prognostic risk factor p = 000 hazard ratio = 269Both IvorLewis esophagectomy and Dualincision esophagectomy through the left chest and neck are options for treating middle thoracic esophageal squamous cell carcinoma It is suggested that a patient’s individual condition be taken into account when choosing the operative approach
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