微创中食管切除术。
Minimally invasive mesoesophageal resection.
作者信息
Cuesta Miguel A
机构信息
Emeritus professor Gastrointestinal Surgery and Minimally Invasive Surgery, Vumc Medical Center, Amsterdam, The Netherlands.
出版信息
J Thorac Dis. 2019 Apr;11(Suppl 5):S728-S734. doi: 10.21037/jtd.2018.12.39.
Abstract
Based in the anatomical concept of the mesoesophagus, that at subcarinal level all the vessels come through a by-layer connective tissue plane from the aorta to the esophagus whereas supracarinally these structures will come from both sides, with vagal and recurrent laryngeal nerves, a minimally invasive mesoesophageal (MIME) resection model may be described. Based on this surgical plane concept, dissection of esophagus and mediastinal lymphadenectomy can be performed along these structures establishing clear anatomical modules for an adequate oncological resection.
摘要
基于中食管的解剖学概念，即在隆突水平所有血管都通过一个双层结缔组织平面从主动脉到达食管，而在隆突上方这些结构将从两侧而来，伴有迷走神经和喉返神经，可描述一种微创中食管（MIME）切除模型。基于这种手术平面概念，可沿着这些结构进行食管解剖和纵隔淋巴结清扫，为充分的肿瘤切除建立清晰的解剖模块。
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