摘要
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2．9d，平均住院时间8．7d。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。
Objective To evaluate the efficacy and safety of video-assisted thoraeoseopie （VATS） esophagectomy in the treatment of esophageal cancer. Methods From June 2004 to October 2007, video-assisted thoracoscopic esophagectomy was performed in 36 patients, including 29 men and 7 women with median age of 58.9 years old. The cancer located at upper segment in 5 cases, middle 25 cases and lower 6 cases. VATS approach was used to mobilize the intrathoracic esophagus and stomach was mobilized by open approach. Esophagogastric anastomosis was performed in the left neck. Results The mean operative time was 250 minutes （190-330 min） and average time of VATS was 70 minutes. The mean hospital stay was 8.7 days. Mean lymph node harvest was 14.3 nodes. Post- operative complications occurred in 11 patients （30.6%）, but no perioperative death occurred. Conclusion Video-assisted thoracoscopic esophagectomy is technically feasible and safe with lower morbidity and shorter hospital stay as compared to open procedure, and may replace the open esophageetomy in selected patients.
出处
《中华胃肠外科杂志》
CAS
2008年第1期24-27,共4页
Chinese Journal of Gastrointestinal Surgery
关键词
食管肿瘤
电视胸腔镜
食管切除术
Esophageal neoplasms
Video-assisted thoraeoseopie surgery
Esophageetomy
