Shimada Yutaka, Kawabe Atsushi, Nakajima Sanae, Hata Koichiro, Takahashi Yuwa, Kume Makoto, Tsukada Kazuhiro
Surg Today. 2015 Jan;45(1):91-5. doi: 10.1007/s00595-013-0738-7.
Esophagectomy in the prone position has recently been introduced as a less-invasive procedure for treating esophageal cancer. We herein present a case of esophageal squamous cell carcinoma (ESCC) treated with a bilateral thoracic approach in the prone position. The patient was a 69-year-old male diagnosed with middle thoracic ESCC. Computed tomography scans and fluorine-18-fluorodeoxyglucose revealed possible metastasis to the lymph nodes on the left dorsal side of the descending thoracic aorta (DTA). After preoperative chemotherapy, we dissected the lymph node metastasis on the left dorsal DTA using the left thoracic approach, following resection of the ESCC by a right thoracic approach in the same prone position. The postoperative course was uneventful, and the patient was discharged 23 days after surgery. A bilateral thoracic approach for esophageal cancer in the prone position may be a new option for surgically treating esophageal cancer.
俯卧位食管切除术最近作为一种治疗食管癌的侵入性较小的手术方法被引入。我们在此报告一例采用俯卧位双侧开胸手术治疗的食管鳞状细胞癌（ESCC）病例。该患者为69岁男性，诊断为胸段中段ESCC。计算机断层扫描和氟-18-氟脱氧葡萄糖检查显示胸降主动脉（DTA）左侧背侧淋巴结可能转移。术前化疗后，我们在同一俯卧位下先采用右胸入路切除ESCC，然后采用左胸入路清扫DTA左侧背侧淋巴结转移灶。术后过程顺利，患者术后23天出院。俯卧位双侧开胸手术治疗食管癌可能是一种新的手术选择。
