Chung S C, Griffin S M, Wood S D, Crofts T J, Li A K
Department of Surgery, Prince of Wales Hospital, Hong Kong, Shatin, N.T.
Surg Gynecol Obstet. 1990 Jan;170(1):68-9.
A modification of the Lewis esophagectomy for carcinoma of the intrathoracic esophagus is described herein. With the patient in the semilateral position, two surgical teams operate simultaneously. The abdominal team mobilizes the stomach while the thoracic team removes the esophagus. Esophagogastric anastomosis is performed by stapling at the apex of the thorax. The procedure was performed upon 50 patients. There were two anastomotic leaks and one death occurred in the hospital. The two team synchronous approach avoids changes in the position of the patient, shortens operating time and may contribute to lower morbidity rates for patients undergoing esophagectomy.
本文描述了一种用于胸段食管癌的改良刘易斯食管切除术。患者取半侧卧位，两个手术团队同时进行手术。腹部团队游离胃，而胸部团队切除食管。在胸腔顶部用吻合器进行食管胃吻合。该手术方法应用于50例患者。发生了2例吻合口漏，1例患者在医院死亡。两个团队同步手术的方法避免了患者体位的改变，缩短了手术时间，可能有助于降低接受食管切除术患者的发病率。
