Apoil B, Marchand P, Couque M, Segol P, Gignoux M
Ann Chir. 1989;43(1):10-4.
A technique of esophagectomy without thoracotomy using a stripper with limited dissection of the mediastinum has been applied to 48 patients: neoplasia in 41 (squamous-cell carcinoma of the esophagus: 34, carcinoma of the gastric cardia: 5, pharyngeal carcinoma: 2) and non-malignant pathology in 7 (2 caustic necroses, 2 ruptured esophagus, 2 anastomotic leakages after gastro-esophageal resection, 1 caustic stenosis). There were 3 post-operative deaths. The best indications of this procedure are extended tumors of the lower esophagus in poor-risk patients, and perhaps superficial carcinomas of the esophagus whatever the site. The usefulness of this technique in such situations as perforations and mediastinitis is emphasized.
一种使用剥脱器且纵隔分离有限的非开胸食管切除术已应用于48例患者：41例为肿瘤性病变（食管鳞状细胞癌：34例，胃贲门癌：5例，咽癌：2例），7例为非恶性病变（2例腐蚀性坏死，2例食管破裂，2例胃食管切除术后吻合口漏，1例腐蚀性狭窄）。术后有3例死亡。该手术的最佳适应证是高危患者的下段食管扩展性肿瘤，或许还有食管任何部位的浅表癌。强调了该技术在穿孔和纵隔炎等情况下的实用性。
