Nguyen Ninh T, Longoria Mario, Sabio Allen, Chalifoux Sara, Lee John, Chang Ken, Wilson Samuel E
Department of Surgery and Medicine, University of California Irvine Medical Center, Orange, California, USA.
Ann Thorac Surg. 2006 Jun;81(6):2318-20. doi: 10.1016/j.athoracsur.2005.05.033.
Anastomotic leak is a major cause for morbidity after esophagectomy. The cause is believed to be ischemia of the gastric conduit. Preoperative embolization of the left gastric vessels in preparation for esophagectomy has been shown to improve collateral blood flow of the gastric conduit and may reduce the frequency of anastomotic dehiscence after esophagectomy. This report describes the technique of laparoscopic division of the left gastric vessels in 9 patients who underwent pre-esophagectomy staging laparoscopy. Our initial experience demonstrates that laparoscopic ligation of the left gastric artery is a safe alternative to embolization and can be performed in conjunction with staging laparoscopy for patients with esophageal cancer.
吻合口漏是食管切除术后发病的主要原因。其病因被认为是胃管道的缺血。术前对左胃血管进行栓塞以准备食管切除术已被证明可改善胃管道的侧支血流，并可能降低食管切除术后吻合口裂开的发生率。本报告描述了9例接受术前分期腹腔镜检查的患者中，腹腔镜下分离左胃血管的技术。我们的初步经验表明，腹腔镜下结扎左胃动脉是栓塞术的一种安全替代方法，可与食管癌患者的分期腹腔镜检查同时进行。
