胸腹腔镜联合下食管癌切除术与开放手术疗效对比的Meta分析

Psycological trauma in the era of precise minimally invasive surgery

Today, we have entered an era of precise minimally invasive surgery. Psycological trauma has not attracted enough attention compared with the physiological trauma. The medical procedure will have positive or negative psychological effects on patients. The concept of minimal psychological trauma is proposed to change the negative psychological effect to a positive psychological effect. Patient-doctor communication, incision dressing and suture, psychological counseling, postoperative analgesia and so on are all involved in the concept of minimal psychological trauma. This concept allows us to enlarge the field of vision to the entire perioperative period, and contributes to the achievement of comprehensive and seamless minimally invasive services. The principle of benefiting patients remains the cornerstone of the concept of minimal psychological trauma and should be obeyed in clinical practice to avoid adverse effects.

Curative effects of sequential chemo-radiation therapy in esophageal cancer

AIM: To assess the curative effects of sequential chemo-radiation therapy in patients with esophageal cancer.

METHODS: Sixty-two esophageal cancer patients were randomly divided into either an observation group to receive sequential chemo-radiation therapy or a control group to receive simple radiotherapy. Short-term efficacy, life quality and long-term efficacy were compared between the two groups.

RESULTS: The effective rate was significantly better in the observation group than in the control group (80.65% vs 67.74%, P < 0.05). During one year of follow-up, the indexes of life quality were significantly better in the observation group than in the control group (P < 0.05). The 1- and 3-year survival rates were significantly higher in the observation group than in the control group (74.19% vs 51.61%, 61.29% vs 45.16%, P < 0.05).

CONCLUSION: Sequential chemo-radiation therapy can effectively improve both short- and long-term efficacy and improve life quality in patients with esophageal cancer.