摘要
目的探讨充气式纵隔镜联合腹腔镜在肺功能障碍食管癌患者食管切除术中的安全性和可行性。方法回顾性分析2021年7月至2023年9月在河南科技大学附属安阳市肿瘤医院接受同一手术团队治疗的53例低肺功能患者,采用充气式纵隔镜联合腹腔镜完成食管癌根治术。观察围术期并发症发生率,包括肺部感染、声音嘶哑、淋巴结清扫个数、手术时间、术中出血量和吻合口瘘等。结果所有患者均成功完成手术,手术时间(229.8±42.7)min,失血量(70.5±34.4)mL。切除淋巴结数(20.4±4.2)个。术后平均住院天数为(13.5±5.5)d,术后入住ICU时间(1.3±1.0)d。3例(5.66%)发生颈部吻合口瘘,5例(9.43%)术后发生肺炎,13例(24.53%)出现声音嘶哑。R0切除率为100%。无围手术期死亡。结论充气式纵隔镜联合腹腔镜食管切除术在治疗低肺功能食管癌患者中是安全可行的,不增加围术期并发症风险,且对肺功能要求较低。
Objective To explore the safety and feasibility of inflatable video-assisted mediastinoscopic transhiatal esophagectomy(IVMTE)in patients with esophageal cancer and pulmonary dysfunction.Methods A retrospective analysis was conducted on 53 patients with pulmonary dysfunction who underwent IVMTE by the same surgical team in our hospital from July 2021 to September 2023.The perioperative complication rates,including pulmonary infection,hoarseness,number of lymph nodes dissected,operation time,intraoperative bleeding,and anastomotic leakage,were observed.Results All patients successfully completed the surgery,with average surgery time of 229.8±42.7 minutes and average blood loss of 70.5±34.4 mL.The average number of dissected lymph nodes was 20.4±4.2.The average postoperative hospital stay was 13.5±5.5 days,and the average ICU stay was 1.3±1.0 days.3 cases(5.66%)experienced cervical anastomotic leakage,5 cases(9.43%)developed postoperative pneumonia,and 13 cases(24.53%)had hoarseness.The R0 resection rate was 100%.There is no perioperative mortality.Conclusion IVMTE is safe and feasible for the treatment of patients with esophageal cancer and pulmonary dysfunction.It does not increase the risk of perioperative complications and reduces the requirements related to pulmonary function.
作者
田治强
刘季钊
乔孟晗
冯绍康
李小兵
TIAN Zhiqiang;LIU Jizhao;QIAO Menghan;FENG Shaokang;LI Xiaobing(Department of Thoracic Surgery,the Affiliated Anyang Tumor Hospital of Henan University of Science and Technolog,Henan,China,455000)
出处
《食管疾病》
2025年第2期106-110,共5页
Journal of Esophageal Diseases
基金
河南省联合共建项目(LHGJ20210880)。
关键词
纵隔镜
食管切除术
术后并发症
肺功能
mediastinoscopic
esophagectomy
postoperative complications
pulmonary function
