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| Application of semipronation in thoracic laparoscopy for esophageal cancer |
| TANG Honghua LU Xiuying JIANG Xiaofang JIN Hailong LIU Lu |
| Operation Room, Sichuan Cancer Hospital, Sichuan Province, Chengdu 610041, China |
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Abstract Objective To explore the application of semipronation in thoracic laparoscopy for esophageal cancer. Methods From Apirl 2013 to October 2014, in Sichuan Cancer Hospital, 106 esophageal cancer patients with two methods of the radical operation of esophageal cancer were selected, and they were divided into test group and control group by random number table， patients in two groups were given semiprone position and positive side position when separating the tumor and cleaning up mediastinal lymph nodes respectively. The BP, HR and AP before and after the body position were monitored. The surgical field exposure, operation time and the degree of comfort effect of body position intervention were discussed. Results After the operation position changed，the blood pressures were lower than before in the test group，but those were higher in the control group (P < 0.05). The air pressures after position change were higher than those before in two groupd (P < 0.05), and the heart rate had no obvious change in the two groups (P > 0.05). The operation time of the test group was significantly shorter than that of the control group (P < 0.05). The comfort score of the test group was significantly higher than that of the control group (P < 0.05). The operation field quality of the test group was higher than that of the control group (P < 0.05). Conclusion The semipronation can not only fully expose the surgical field,but also maintain satisfactory hemodynamics.In conclusion,the semipronation can shorten the operation time as well as ensure the safety of patients.
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