社区医院环境下的微创食管切除术

Minimally invasive esophagectomy in the community hospital setting.

作者信息

Hanna Erin M, Norton H James, Reames Mark K, Salo Jonathan C

机构信息

Department of General Surgery, Carolinas Medical Center, 1000 Blythe Boulevard, PO Box 32861, Charlotte, NC 28232-2861, USA.

出版信息

Surg Oncol Clin N Am. 2011 Jul;20(3):521-30, ix. doi: 10.1016/j.soc.2011.01.009.

DOI:10.1016/j.soc.2011.01.009

PMID:21640919

Abstract

We report our initial experience with minimally-invasive esophagectomy in 32 patients at Carolinas Medical Center, a community academic medical center. Indications for surgery were adenocarcinoma in 27, squamous cell carcinoma in 3, and benign stricture in 2. Transthoracic Ivor-Lewis esophagectomy with laparoscopy and thoracoscopy was performed in 28, a 3-stage esophagectomy in 3, and transhaital esophagectomy in 1. There was no operative mortality and median hospital stay was 10.5 days for patients treated with minimally invasive esophagectomy. This compares with an operative mortality of 8.9% and median hospital stay of 17 days for open esophagectomy in our institution.

摘要

我们报告了在卡罗莱纳医疗中心（一家社区学术医疗中心）对32例患者进行微创食管切除术的初步经验。手术适应症包括27例腺癌、3例鳞状细胞癌和2例良性狭窄。28例患者采用经胸Ivor-Lewis食管切除术联合腹腔镜和胸腔镜手术，3例采用三阶段食管切除术，1例采用经腹食管切除术。接受微创食管切除术的患者无手术死亡，中位住院时间为10.5天。相比之下，我们机构开放性食管切除术的手术死亡率为8.9%，中位住院时间为17天。