[电视辅助胸腔镜食管癌切除术]
[Video-assisted thoracoscopic esophagectomy in esophageal carcinoma].
作者信息
Tan Li-jie, Wang Qun, Feng Ming-xiang, Ge Di, Xu Zheng-lang, Jiang Wei, Xu Song-tao, Ding Jian-yong, Guo Wei-gang
机构信息
Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
出版信息
Zhonghua Wei Chang Wai Ke Za Zhi. 2008 Jan;11(1):24-7.
OBJECTIVE
To evaluate the efficacy and safety of video-assisted thoracoscopic (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 esophagectomy in selected patients.
目的
评估电视胸腔镜辅助（VATS）食管癌切除术治疗食管癌的疗效及安全性。
方法
2004年6月至2007年10月，对36例患者实施电视胸腔镜辅助食管癌切除术，其中男性29例，女性7例，中位年龄58.9岁。肿瘤位于食管上段5例，中段25例，下段6例。采用VATS方法游离胸段食管，经开放途径游离胃。于左颈部行食管胃吻合术。
结果
平均手术时间为250分钟（190 - 330分钟），VATS平均时间为70分钟。平均住院时间为8.7天。平均清扫淋巴结14.3枚。11例患者（30.6%）发生术后并发症，但无围手术期死亡。
结论
电视胸腔镜辅助食管癌切除术技术上可行且安全，与开放手术相比，发病率较低，住院时间较短，在部分患者中可替代开放食管癌切除术。
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