Rohatgi A, Forshaw M J, Sutcliffe R P, Strauss D C, Mason R C
Department of General Surgery, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, London, UK.
Surgeon. 2008 Dec;6(6):335-40. doi: 10.1016/s1479-666x(08)80004-2.
To demonstrate our technique and valuable tips for transhiatal oesophagectomies.
215 patients underwent transhiatal oesophagectomies in our unit between 2000 and 2006.
In-hospital mortality was 0.9%. Anastomotic leak in 12 patients (5.6%). Chyle leak was seen in five patients and recurrent nerve neuropraxia in six patients. Iatrogenic splenectomy rate was 6%. The median operative time was 151 minutes (range 93-276 minutes). Overall median length of hospital stay was 15 days (range 8-95 days). The median survival for all patients undergoing transhiatal oesophagectomy for invasive malignancy was 42.9 months and the one-year and five-year survival were 81% and 48% respectively.
This is a safe and oncologically sound procedure. We feel that the tips can be helpful for anyone performing this procedure.
展示我们经胸食管切除术的技术及实用技巧。
2000年至2006年间，我们科室有215例患者接受了经胸食管切除术。
住院死亡率为0.9%。12例患者（5.6%）发生吻合口漏。5例患者出现乳糜漏，6例患者出现喉返神经失用症。医源性脾切除率为6%。中位手术时间为151分钟（范围93 - 276分钟）。总体中位住院时间为15天（范围8 - 95天）。所有因浸润性恶性肿瘤接受经胸食管切除术患者的中位生存期为42.9个月，1年和5年生存率分别为81%和48%。
这是一种安全且肿瘤学效果良好的手术。我们认为这些技巧对任何实施该手术的人都会有所帮助。
