Long-term survival of the middle and lower thoracic esophageal cancer patients after surgical treatment through left or right thoracic approach

• DOI: 10.21037/jtd.2018.04.45
• Publication Date: 2018-05-31T02:50:12Z
• Authors: Ding Yang; You-Sheng Mao; Jie He; Shu-Geng Gao; Ke-Lin Sun; Ju-Wei Mu; Qi Xue; Da-Li Wang; Yu-Shun Gao; Jun Zhao; Xiang-Yang Liu; De-Kang Fang; Jian Li; Yong-Gang Wang; Liang-Ze Zhang; Jin-Feng Huang; Bing Wang
• Keywords: Esophagectomy

Esophageal cancer is one of the most prevalent malignancies with a high incidence and mortality in China, main treatment for esophageal at present still surgery-based multimodality treatment, surgery effective measure. However, modes surgical have been diverse. The approaches can be mainly divided into left thoracic approach right China. long-term survival patients treated through was reported better than that approach, but until now no statistically significant difference found between two approaches, especially, those middle lower without suspected upper mediastinal lymph node metastasis preoperative examinations, definite conclusion made on selection therefore, this studies try to compare .The data 402 cases complete resection two-field dissection from January, 2011 December, Cancer Hospital, Chinese Academy Medical Sciences retrospectively reviewed analyzed. Propensity score matching (PSM) analysis life-table SPSS 22.0 Stata 14.0 were used analyze survival.Totally, surgically either via or approach. overall 5-year rate series 38%, it 37% 281 39% 121 (P=0.908). 256 mediastinum based examinations 38% versus 43% 88 (P=0.404). After PSM, 110 32% 40% another matched (P=0.146). 33% 44% (P=0.239).For patients, whether not who has CT EUS, achieve significantly Further prospective randomized clinical trials are needed verify disputed issue selection.