Background We explored the selection of surgical method and differences in postoperative complications in patients with esophageal cancer (EC). Methods The data of 434 patients with EC who underwent thoracic surgery at the Jiangsu Provincial People's Hospital between January 2011 and December 2016 were collected. Patients were divided into three groups: Sweet surgery (143 cases), Ivor–Lewis surgery (232 cases), and minimally invasive esophagectomy (MIE, 59 cases). The number of postoperative days, number of lymph nodes dissected, and incidence of pulmonary infection, serous membrane fluid, arrhythmia, chylous fistula, gastric emptying dysfunction, and anastomotic leakage were recorded. Results A statistically significant number of female stage I patients with upper EC underwent MIE (P < 0.05). Postoperative complications were observed in all three groups but were not statistically significant (P > 0.05). A greater number of lymph nodes were dissected in the Ivor–Lewis group compared to the other groups (P < 0.05). Conclusion Clinically, MIE is often selectively used for women with upper and mid‐early EC, especially in stage I. In our sample, more lymph nodes were dissected in the Ivor–Lewis than in the MIE group, which can reduce recurrence and improve the survival rate. Ivor–Lewis surgery is often used in mid‐lower and terminal EC, while MIE is often used in upper and mid‐early EC. Compared to the other surgical methods, MIE does not increase the risk of postoperative complications. The gradual maturation of MIE technology will further expand indications and increase the number of lymph nodes dissected.
Affected by the Covid-19 pandemic and low oil prices, OPEC members were forced to curtail production. The H oilfield in Iraq commenced production curtailment in early March 2020 and then oil production gradually decreased. By the end of 2020, production was less than one-third of the rate before curtailment. There are multiple sets of oil-bearing formations in the H Oilfield vertically. The developed oil reservoirs have a total of more than three hundreds development wells. The reservoir types are diverse, the relationship among multiphase fluids is complex, and the development methods are different. The reduction of the daily production will inevitably require a comprehensive strategy adjustment to cope with the new situation. Any intentional or unintentional shut-in has a price. Therefore, the key is how to reasonably control the production in many oil reservoirs and re-adjust the oil reservoir development plan at the minimum cost while meeting the overall changing production restriction target for each oil reservoir. In this study, the author established a simple and fast process for judging open and closed wells through years of experience in reservoir dynamic analysis and field management. Step 1: Wells are classified according to production characteristics. For pre-selected wells, some wells with unique functions that need to be opened and those that need to be closed for objective reasons should be excluded. Step 2: Conduct single well cost analysis with reference to production status. Respectively evaluate the performance of the production well under the state of opening and closing. Step 3: Establish the model with economic indicators as the objective function. According to different goals, the model established is slightly different. Step 4: Optimize the best solution based on actual needs. Solve the optimal solution under the target and optimize the number of reasonably configured wells in each reservoir. Through this process, combined with historical and current actual production conditions, different types of oil wells in all reservoirs are classified. Their priorities of reopening are evaluated to meet the needs of other production restriction targets and ensure the smooth transition of oilfield development.
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