Evaluation of Short-term Quality of Life in Patients with Esophageal Cancer after Video-assisted Thoracoscopic Surgical Esophagectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LUYong-guo , MEIBo , WANZhi-yu , LIXiao-ming , YINGJun-tai , ZHOUXiao-wei , MUHai-de

Department of Cardiothoracic Surgery, Guangyuan Central Hospital, Guangyuan 628000 Sichuan, P. R. China;

Corresponding author：

Keywords：

Esophageal cancer; Quality of life; Thoracoscopes

DOI：

10.7507/1007-4848.20160059

Video：

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Objective To evaluate the impact of video-assisted thoracoscopic surgery (VATS) esophagectomy and routine operation on the short-term quality of life in patients with esophageal cancer. Methods From January 2012 through January 2014, 157 esophageal cancer patients were classified into a VATS group (n=42) and a routine operation group (n=115) in our hospital. All patients in the two groups completed the Chinese versions of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (QLQ)-C30 and QLQ-OES18 at one, six and 12 months after operation separately. Results At the end of 6, 12 months after operation, the evaluation on global health status was higher in the VATS group(68.8±12.3 vs. 62.7±13.7, P<0.05; 76.2±10.4 vs. 68.6±8.8, P<0.05). At the end of 1, 6, 12 months after operation, the scores of symptom pain were less significantly in the VATS group than those in the routine operation group (P<0.05). One month after operation, the score of active ability in the VATS group was higher (P<0.05). At the end of 6, 12 months after operation, the score of emotional function and social role in the VATS group was higher (P<0.05). At the end of 12 months after operation, the score of role function and cognitive function in the VATS group was also higher (P<0.05). Conclusion VATS is of better effect on improving short-term quality of life of esophageal cancer patients compared with routine operation.

Citation： LUYong-guo, MEIBo, WANZhi-yu, LIXiao-ming, YINGJun-tai, ZHOUXiao-wei, MUHai-de. Evaluation of Short-term Quality of Life in Patients with Esophageal Cancer after Video-assisted Thoracoscopic Surgical Esophagectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(3): 248-252. doi: 10.7507/1007-4848.20160059 Copy

1.	Blazeby JM, Williams MH, Brookes ST, et al. Quality of life measurement in patients with oesophageal cancer. Gut, 1995, 37(4): 505-508.
2.	牛中喜, 陈龙奇, 等. NCCN2013食管癌临床实践指南解读. 中国胸心血管外科临床杂志, 2014, 21(1): 5-6.
3.	关庆民, 杜贾军, 孟龙, 等. 手辅助电视胸腔镜食管癌切除术后患者近期生命质量的研究.中华外科杂志, 2007, 45(10): 688-691.
4.	Zhang J, Xu M, Guo M, et al. Analysis of postoperative quality of life in patients with middle thoracic esophageal carcinoma undergoing minimally invasive Ivor-Lewis esophagectomy. Zhonghua Wei Chang Wai Ke Za Zhi, 2014, 17(9): 915-919.
5.	Hjermstad M J, Fossa S D, Bjordal K, et al. Test/retest study of the European organization for research and treatment of cancer core quality-of-life questionnaire. J Clin Oncol, 1995, 13(5): 1249-1254.
6.	Shen H, Wang J, Li W, et al. Assessment of health-related quality of life of patients with esophageal squamous cell carcinoma following esophagectomy using EORTC quality of life questionnaires. Mol Clin Oncol, 2015, 3(1): 133-138.
7.	Aaronson NK, Meyerowitz BE, Bard M, et al. Quality of life research in oncology. Past achievements and future priorities. Cancer, 1991, 67(3 Suppl): 839-843.
8.	Paiva JM, Wright GM. Hand-assisted thoracoscopic Surgery causes less postoperative pain than limited thoracotomy after cessation of epidural analgesia. Heart Lung Circ, 2004, 13(4): 374-378.
9.	付茂勇, 赵雍凡, 阎齐, 等. 食管、贲门癌切除食管胃分层吻合术患者生命质量评价. 中国胸心血管外科临床杂志, 2003, 2(10): 101-104.
10.	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):135-46.
11.	Guo M, Xie BY, Sun XY, et al. A comparative study of the therapeutic effect in two protocols: video-assisted thoracic surgery combined with laparoscopy versus right open transthoracic esophagectomy for esophageal cancer management. Chinese-German J Clin Oncol, 2013, 2(12): 68-71.
12.	Djourno XB, Michelet P, Avaro JP, et al. Respiratory complications after esophegectomy for cancer. Rev Mal Respir, 2008, 25(6): 683-694.
13.	Fang WT, Kao H. Anslysis of pulmonary complications after three-field lymph node dissection for esophageal cancer. Ann Thorac Surg, 2003, 76(3): 903-908.
14.	张绍岚, 常唐喜, 刘红旗. 食管癌患者生命质量及其影响因素. 中国老年学杂志, 2010, 30(21): 3081-3083.
15.	张广云, 王军业, 李咏松, 等. 胸腔镜辅助与传统根治术对老年食管癌术后近期生活质量的影响. 中国内镜杂志, 2013, 8(19): 832-837.
16.	Dhamija A, Rosen JE, Dhamija A, et al. Learning curve to lymph node resection in minimally invasive esophagectomy for cancer. Innovations (Phila), 2014, 9(4): 286-291.
17.	王文凭, 陈龙奇. 食管癌外科治疗的现状与展望. 中国胸心血管外科临床杂志, 2011, 1(18): 58-65.
18.	Mouroux J, Venissac N, Leo F, et al. Surgical treatment of diaphragmatic eventration using video-assisted thoracic surgery: a prospective study. Ann Thorac Surg, 2005, 79(1): 308-312.
19.	高晓松, 陈刚, 唐继鸣, 等. 食管-胃颈部侧侧机械吻合法在三切口食管癌切除术中的应用.中国癌症杂志, 2010, 2(20): 130-133.
20.	李京沛, 谭黎杰, 王群, 等. 三切口食管癌根治术:胸腔镜与开放手术的回顾性研究. 中华胸心血管外科杂志, 2013, 6(29): 339-361.

1. Blazeby JM, Williams MH, Brookes ST, et al. Quality of life measurement in patients with oesophageal cancer. Gut, 1995, 37(4): 505-508.
2. 牛中喜, 陈龙奇, 等. NCCN2013食管癌临床实践指南解读. 中国胸心血管外科临床杂志, 2014, 21(1): 5-6.
3. 关庆民, 杜贾军, 孟龙, 等. 手辅助电视胸腔镜食管癌切除术后患者近期生命质量的研究.中华外科杂志, 2007, 45(10): 688-691.
4. Zhang J, Xu M, Guo M, et al. Analysis of postoperative quality of life in patients with middle thoracic esophageal carcinoma undergoing minimally invasive Ivor-Lewis esophagectomy. Zhonghua Wei Chang Wai Ke Za Zhi, 2014, 17(9): 915-919.
5. Hjermstad M J, Fossa S D, Bjordal K, et al. Test/retest study of the European organization for research and treatment of cancer core quality-of-life questionnaire. J Clin Oncol, 1995, 13(5): 1249-1254.
6. Shen H, Wang J, Li W, et al. Assessment of health-related quality of life of patients with esophageal squamous cell carcinoma following esophagectomy using EORTC quality of life questionnaires. Mol Clin Oncol, 2015, 3(1): 133-138.
7. Aaronson NK, Meyerowitz BE, Bard M, et al. Quality of life research in oncology. Past achievements and future priorities. Cancer, 1991, 67(3 Suppl): 839-843.
8. Paiva JM, Wright GM. Hand-assisted thoracoscopic Surgery causes less postoperative pain than limited thoracotomy after cessation of epidural analgesia. Heart Lung Circ, 2004, 13(4): 374-378.
9. 付茂勇, 赵雍凡, 阎齐, 等. 食管、贲门癌切除食管胃分层吻合术患者生命质量评价. 中国胸心血管外科临床杂志, 2003, 2(10): 101-104.
10. 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):135-46.
11. Guo M, Xie BY, Sun XY, et al. A comparative study of the therapeutic effect in two protocols: video-assisted thoracic surgery combined with laparoscopy versus right open transthoracic esophagectomy for esophageal cancer management. Chinese-German J Clin Oncol, 2013, 2(12): 68-71.
12. Djourno XB, Michelet P, Avaro JP, et al. Respiratory complications after esophegectomy for cancer. Rev Mal Respir, 2008, 25(6): 683-694.
13. Fang WT, Kao H. Anslysis of pulmonary complications after three-field lymph node dissection for esophageal cancer. Ann Thorac Surg, 2003, 76(3): 903-908.
14. 张绍岚, 常唐喜, 刘红旗. 食管癌患者生命质量及其影响因素. 中国老年学杂志, 2010, 30(21): 3081-3083.
15. 张广云, 王军业, 李咏松, 等. 胸腔镜辅助与传统根治术对老年食管癌术后近期生活质量的影响. 中国内镜杂志, 2013, 8(19): 832-837.
16. Dhamija A, Rosen JE, Dhamija A, et al. Learning curve to lymph node resection in minimally invasive esophagectomy for cancer. Innovations (Phila), 2014, 9(4): 286-291.
17. 王文凭, 陈龙奇. 食管癌外科治疗的现状与展望. 中国胸心血管外科临床杂志, 2011, 1(18): 58-65.
18. Mouroux J, Venissac N, Leo F, et al. Surgical treatment of diaphragmatic eventration using video-assisted thoracic surgery: a prospective study. Ann Thorac Surg, 2005, 79(1): 308-312.
19. 高晓松, 陈刚, 唐继鸣, 等. 食管-胃颈部侧侧机械吻合法在三切口食管癌切除术中的应用.中国癌症杂志, 2010, 2(20): 130-133.
20. 李京沛, 谭黎杰, 王群, 等. 三切口食管癌根治术:胸腔镜与开放手术的回顾性研究. 中华胸心血管外科杂志, 2013, 6(29): 339-361.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Evaluation of Short-term Quality of Life in Patients with Esophageal Cancer after Video-assisted Thoracoscopic Surgical Esophagectomy

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