摘要
目的探讨电视胸腔镜手术在食管癌根治术中的应用。方法将32例患者行电视胸腔镜下食管癌根治术,手术方法胸部操作采用电视胸腔镜,上腹部小切口游离胃,食管胃左颈部吻合器吻合。结果 32例患者无围手术期死亡,无术后严重并发症发生。手术共清扫淋巴结230枚,平均7.2枚;随访至2010年10月全部生存。结论电视胸腔镜食管癌根治术较常规手术相比创伤小,恢复快,尤其对肺部并发症的减少具有重要作用。电视胸腔镜食管癌根治手术逐渐成为临床治疗早期食管癌的常规术式之一。
Objective To summarize the clinical experience of video-assisted thoracoscopic esophagectomy（VATS） for radical operation of esophageal cancer.Methods From September 2007 to September 2010,video-assisted thoracic esophagectomy was performed in 32 patients.VATS approach was used to mobilize the intrathoracic esophageal and lymphadenectomy,stomach was mobilized by open approach,and esophago-gastric anastomosis was performed in the left side of the neck.Results No patient died intra-or peri-operation.No serious postoperative complained during the peroperative period.The number lymph nodes removed was 230（mean,7.2）.No patient died until October 2010.Conclusion Video-assisted thoracoscopic esophagectomy is technically feasible and safe compared to open procedure.It is beneficial for reducing pulmonary complications during the preoperative period.It has the potential to replace open esophagectomy in selected patients.
出处
《安徽医学》
2011年第3期265-266,共2页
Anhui Medical Journal
关键词
电视胸腔镜
食管癌
Video-assisted thoracscopic surgery
Esophageal carcinoma
