ObjectiveTo compare the clinical effects of thoracoscopic combined with laparoscopic surgery with traditional three-incision surgery in treating senile patients with middle and lower esophageal cancer. MethodsA total of 100 senile patients with esophageal cancer were enrolled, among which 50 patients received thoracoscopic combined with laparoscopic surgery for treatment were assigned to observation group, whereas 50 patients received traditional three-incision surgery, and whose general data were equitably comparable with the observation group, were assigned to control group. The surgery duration, intraoperative blood loss volume, drainage volume on the first day after surgery, volume of hemoglobin decline, hospital stays, lymph nodes dissection, complications after surgery and follow-up conditions were compared between the two groups. ResultsThe observation group yielded shorter surgery duration and hospital stays, lower volume of intraoperative blood loss and drainage on the first day after surgery, whereas larger volume of hemoglobin decline as compared with the control group (all P＜0.05). Compared to the control group, patients in the observation group obtained larger numbers of lymph nodes dissection in upper mediastinal lymph nodes, middle and lower mediastinal lymph nodes, and abdominal lymph nodes (all P＜0.05). There was no statistically significant difference in the number of lymph nodes dissection in cervical lymph nodes between the two groups (P＞0.05). The incidence of complications was lower in the observation group than in the control group (P＜0.05). There were no statistically significant differences in disease metastasis and recurrence between the two groups (all P＞0.05). ConclusionCompared to traditional three-incision of esophageal surgery, employing thoracoscopic combined with laparoscopic surgery has less trauma, more radical numbers of lymph nodes dissection, faster recovery after surgery, superior prognosis, and better clinical effect.

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