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微创食管切除术加颈食管胃吻合术。

Minimally invasive esophagectomy with cervical esophagogastric anastomosis.

机构信息

Department of Surgery, University of Florida College of Medicine, 1600 SW Archer Road, P.O. Box 100109, Gainesville, FL 32610, USA.

出版信息

J Gastrointest Surg. 2012 Sep;16(9):1775-81. doi: 10.1007/s11605-012-1895-5. Epub 2012 May 2.

DOI:10.1007/s11605-012-1895-5
PMID:22549264
Abstract

OBJECTIVE

Thoracoscopic dissection of the esophagus and laparoscopic dissection of the stomach with cervical esophagogastric anastomosis is a safe method for resection of esophageal and gastroesophageal junction malignancy.

SETTING

The setting was at University Tertiary Care Center.

PATIENTS

Subjects are patients with esophageal or gastroesophageal junction malignancy undergoing minimally invasive esophagectomy with cervical esophagogastric anastomosis.

MAIN OUTCOME MEASURES

Technique of a 6-cm side-to-side stapled cervical esophagogastric anastomosis is described.

RESULTS

The technique of minimally invasive esophagectomy with side-to-side stapled cervical esophagogastric anastomosis is described.

CONCLUSIONS

Thoracoscopic dissection of the esophagus, laparoscopic dissection of the stomach, and a side-to-side stapled cervical esophagogastric anastomosis is safe, oncologically appropriate, and provides excellent functional results.

摘要

目的

胸腔镜下食管游离和腹腔镜下胃游离联合颈部食管胃吻合术是治疗食管和食管胃交界部恶性肿瘤的一种安全方法。

地点

大学三级护理中心。

患者

接受微创食管切除术和颈部食管胃吻合术的食管或食管胃交界部恶性肿瘤患者。

主要观察指标

描述了 6cm 侧侧吻合术式的技术要点。

结果

微创食管切除术和侧侧吻合术式的技术要点。

结论

胸腔镜下食管游离、腹腔镜下胃游离和侧侧吻合术式安全、符合肿瘤学原则,并能获得良好的功能效果。

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本文引用的文献

1
Decreasing morbidity and mortality in 100 consecutive minimally invasive esophagectomies.连续 100 例微创食管切除术的发病率和死亡率降低。
Surg Endosc. 2012 Jan;26(1):162-7. doi: 10.1007/s00464-011-1846-3. Epub 2011 Jul 27.
2
Minimally invasive esophagectomy is safe and effective following neoadjuvant chemoradiation therapy.新辅助放化疗后微创食管切除术安全有效。
Ann Surg Oncol. 2011 Nov;18(12):3324-9. doi: 10.1245/s10434-011-1702-7. Epub 2011 Apr 9.
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Technique of minimally invasive Ivor Lewis esophagogastrectomy with intrathoracic stapled side-to-side anastomosis.
基于荧光图像的临床前缺血模型中胃管道灌注评估
J Thorac Dis. 2018 Sep;10(9):5359-5367. doi: 10.21037/jtd.2018.08.46.
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A comparison of cervical delta-shaped anastomosis and circular stapled anastomosis after esophagectomy.食管癌切除术后颈段三角形吻合与圆形吻合器吻合的比较。
World J Surg Oncol. 2017 Jan 19;15(1):31. doi: 10.1186/s12957-017-1097-4.
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Pathologic Complete Response Is an Independent Predictor of Improved Survival Following Neoadjuvant Chemoradiation for Esophageal Adenocarcinoma.病理完全缓解是食管腺癌新辅助放化疗后生存改善的独立预测因素。
J Gastrointest Surg. 2016 Sep;20(9):1541-6. doi: 10.1007/s11605-016-3177-0. Epub 2016 Jun 3.
6
Nationwide analysis of short-term surgical outcomes of minimally invasive esophagectomy for malignancy.全国范围内恶性肿瘤微创食管切除术短期手术结果分析。
Int J Surg. 2016 Jan;25:69-75. doi: 10.1016/j.ijsu.2015.11.023. Epub 2015 Nov 18.
7
Prospective Comprehensive Swallowing Evaluation of Minimally Invasive Esophagectomies with Cervical Anastomosis: Silent Versus Vocal Aspiration.对采用颈部吻合术的微创食管切除术进行前瞻性综合吞咽评估:无声误吸与有声误吸
J Gastrointest Surg. 2015 Oct;19(10):1748-52. doi: 10.1007/s11605-015-2889-x. Epub 2015 Jul 23.
8
Thoracoscopic and Laparoscopic Enucleation of Esophageal Leiomyomas.胸腔镜与腹腔镜联合切除食管平滑肌瘤
J Gastrointest Surg. 2015 Jul;19(7):1350-4. doi: 10.1007/s11605-015-2817-0. Epub 2015 Apr 14.
9
Combined laparoscopic-thoracoscopic esophagectomy and intrathoracic esophagogastric anastomsis.腹腔镜联合胸腔镜食管切除术和胸内食管胃吻合术。
J Thorac Dis. 2013 Dec;5(6):895-7. doi: 10.3978/j.issn.2072-1439.2013.12.11.
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J Gastrointest Surg. 2010 Oct;14(10):1613-8. doi: 10.1007/s11605-010-1244-5. Epub 2010 Jun 8.
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Surg Innov. 2009 Sep;16(3):228-36. doi: 10.1177/1553350609345852. Epub 2009 Aug 27.
5
Application of a modified McKeown procedure (thoracoscopic esophageal mobilization three-incision esophagectomy) in esophageal cancer surgery: initial experience with 30 cases.改良 McKeown 手术(胸腔镜食管游离三切口食管癌切除术)在食管癌手术中的应用:30 例初步经验。
Dis Esophagus. 2009;22(8):687-93. doi: 10.1111/j.1442-2050.2009.00963.x. Epub 2009 Apr 15.
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Minimally invasive surgery compared to open procedures in esophagectomy for cancer: a systematic review of the literature.食管癌切除术微创与开放手术对比:文献系统综述
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Minimally invasive esophagectomy: a comparative study of transhiatal laparoscopic approach versus laparoscopic right transthoracic esophagectomy.微创食管切除术:经裂孔腹腔镜手术与腹腔镜右胸段食管切除术的对比研究
Surg Laparosc Endosc Percutan Tech. 2008 Apr;18(2):178-87. doi: 10.1097/SLE.0b013e318165f205.
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Prone thoracoscopic esophageal mobilization for minimally invasive esophagectomy.用于微创食管切除术的俯卧位胸腔镜食管游离术
Surg Endosc. 2007 Sep;21(9):1667-70. doi: 10.1007/s00464-007-9193-0. Epub 2007 Mar 1.
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Open transthoracic or transhiatal esophagectomy versus minimally invasive esophagectomy in terms of morbidity, mortality and survival.在发病率、死亡率和生存率方面,开放性经胸或经裂孔食管切除术与微创食管切除术的比较
Surg Endosc. 2006 Nov;20(11):1681-6. doi: 10.1007/s00464-006-0009-4. Epub 2006 Sep 6.