摘要
目的 探讨电视胸腔镜辅助 (VATS)食管癌切除手术方式效果。方法 1998至 2 0 0 3年采用VATS辅助行食管癌切除术 7例 ,均为上段食管癌 ,肿瘤长度 3cm～ 8cm。手术分三步 :VATS下经右胸游离食管及肿瘤、清扫淋巴结 ;经上腹部切口游离胃 ;行颈部食管胃吻合。结果 手术时间 12 0～ 180分钟 ,平均 15 0分钟 ;术中胸腔出血 5 0～ 10 0ml,无手术并发症 ,均痊愈出院。结论 电视胸腔镜辅助食管癌切除具有不开胸、心肺功能影响小、胸壁完整、术后病人咳嗽排痰有力、肺内并发症少 ;颈部吻合无胸内吻合口瘘之虑等优点。对于胸上段食管病变、需在颈部吻合食管胃的患者优为适用。
Objective To explore the surgery methods of video-assisted thoracic surgery (VATS) on esophageal carcinoma.Meathods Video-assisted thoracoscopic surgery was performed on 7 patients with esophageal carcinoma from 1998 to 2003 ,all was superior segment esophageal carcinoma.The operation included three steps:through right thorax to free esophageal,to sweep lymph node;through upper abdomen to free stomach;to make the esophageal-stomach anastomosis on nuchae. Results The time of surgery was 120～180 minutes , the average was 150 minutes;without any postoperative complications.Conclusion VATS is characterized by safety and mild tissue injury in the operation ,and less pain ,fewer complications,rapid recovery and short duration of hospitalization after operation .
出处
《现代肿瘤医学》
CAS
2004年第2期129-130,共2页
Journal of Modern Oncology
