Adolf J, Frehner W, Sterk P, Pfeiffer A
Allgemein-, Visceral-, Thorax- und Gefässchirurgie, Klinikum Memmingen, Bismarckstrasse 23, 87700, Memmingen.
Chirurg. 2009 Sep;80(9):848-53. doi: 10.1007/s00104-009-1673-4.
We report outcomes of en bloc esophageal resection with a thoracoscopically assisted laparotomy approach. The operation data were as follows: 41 thoracoscopically assisted procedures, 41 intrathoracic anastomoses, conversion rate 0, 100% R0 resection rate, 25 (15-52) lymph node retrievals, leak rate 2, and one mortality. From these results we conclude that minimally invasive esophagectomy with high intrathoracic anastomosis is a safe procedure. The R0 resection rate, lymph node retrieval, and operating time are comparable with those of the open abdominothoracic approach.
我们报告了采用胸腔镜辅助剖腹手术方法进行整块食管切除术的结果。手术数据如下：41例胸腔镜辅助手术，41例胸内吻合术，转化率为0，R0切除率为100%，清扫淋巴结25枚（15 - 52枚），渗漏率为2例，死亡1例。从这些结果我们得出结论，高胸内吻合的微创食管切除术是一种安全的手术。R0切除率、淋巴结清扫数量和手术时间与开放胸腹联合手术相当。
