Zhang Guo-Fei, Chai Ying, Li Wen-Shan, Huang Lian-Sheng, Shen Gang
Guo-Fei Zhang, Ying Chai, Wen-Shan Li, Gang Shen, Department of Thoracic Surgery, the Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310009, Zhejiang Province, China.
World J Gastroenterol. 2014 Sep 21;20(35):12701-3. doi: 10.3748/wjg.v20.i35.12701.
Patients with esophageal cancer often require esophagectomy with esophagogastrostomy. However, the incidence of complications, such as hemorrhage, during operations for esophageal cancer is high, even with minimally invasive surgery. Without the appropriate interventions, the risk of major intraoperative and postoperative hemorrhage is very high in patients with esophageal cancer and hemophilia. We report the case of a 45-year-old man with esophageal cancer and hemophilia B who underwent a successful hybrid, minimally invasive Ivor-Lewis esophagectomy with appropriate perioperative management.
食管癌患者通常需要进行食管切除术并进行食管胃吻合术。然而，即使是微创手术，食管癌手术期间出血等并发症的发生率也很高。如果没有适当的干预措施，食管癌合并血友病患者术中及术后大出血的风险非常高。我们报告了一例45岁患有食管癌和乙型血友病的男性患者，该患者在进行了适当的围手术期管理后，成功接受了混合式微创Ivor-Lewis食管切除术。
