You Position: Home > Paper
Video-assisted thoracoscopic esophagectomy in esophageal carcinoma
( views:485, downloads:400 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 1
- DOI:
- 10.3760/cma.j.issn.1671-0274.2008.01.007
- Key Word:
- 食管肿瘤;电视胸腔镜;食管切除术
Abstract： 目的 分析电视胸腔镜食管切除术对于食管癌患者的手术安全性和有效性.方法 2004年6月至2007年10月,共有36例食管癌患者行胸腔镜食管切除术.食管上段癌5例,食管中段癌25例,食管下段癌6例.其中2例患者既往有胃大部切除手术史,1例患者行术前化疗.手术采用胸腔镜游离胸段食管并清扫纵隔淋巴结,开腹游离胃行食管胃颈部吻合.结果 平均手术时间250(190-330)min,其中胸部手术时间平均为70(50-150)min,术中出血量165(100～350)ml.术后胸腔引流管放置时间平均2.9 d,平均住院时间8.7 d.平均清扫淋巴结14.3枚,其中胸部淋巴结8.2枚.无围手术期死亡,共有11例(30.6%)患者出现术后并发症.结论 电视胸腔镜食管切除术治疗食管癌在技术上是安全可行的,有望减少手术创伤,降低肺部并发症的发生.
- [1]谭敏.我国胸腔镜食管癌手术的现状和存在的问题[J].2005,(5).
- [2]方文涛,陈文虎,陈勇,等.选择性颈胸腹三野淋巴结清扫治疗胸段食管鳞癌[J].2006,(5).
- [3]安丰山,黄金球,陈少湖.217例胸段食管癌淋巴结转移及其对预后影响的分析[J].2003,(9).
- [4]朱成楚,陈仕林,叶敏华.电视胸腔镜下行食管癌手术胸部淋巴结清扫[J].2005,(10).
- [5]王永岗,汪良骏,张德超.胸段食管鳞癌淋巴结转移特点及临床意义[J].2000,(3).
- [6]James Luketich,Miguel Alvelo-Rivera,Percival Buenaventura,etc.Minimally Invasive EsophagectomyOutcomes in 222 Patients[J].2003,238(4).
- [7]Yousem S,Meehan M,Weigel T,etc.Minimally invasive surgical staging for esophageal cancer.[J].2000,14(8).
- [8]卢绮萍,史陈让,吴在德.丹参防治肝缺血再灌注期肝细胞内钙超载的实验与临床研究[J].1996,(2).
- [9]Varoli F,Maciocco M,Roviaro GC,etc.State of the art in thoracospic surgery: a personal experience of 2000 videothoracoscopic procedures and an overview of the literature.[J].2002,16(6).
- [10]Birkmeyer JD,Finlayson EV,Welch HG,etc.Hospital volume and surgical mortality in the United States.[J].2002,346(15).
- [11]Palanivelu C,Prakash A,Senthilkumar R,etc.Minimally invasive esophagectomy: thoracoscopic mobilization of the esophagus and mediastinal lymphadenectomy in prone position--experience of 130 patients.[J].2006,203(1).
- [12]S G, Swisher,L, Deford,K W, Merriman,etc.Effect of operative volume on morbidity, mortality, and hospital use after esophagectomy for cancer.[J].2000,119(6).