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微创食管切除术：俯卧位保留奇静脉弓。

Minimally invasive esophagectomy: Preservation of arch of Azygos vein in prone position.

作者信息

Kar Madhabananda, Imaduddin Mohammed, Muduly Dillip K, Sultania Mahesh, Houghton Tim, Panigrahi Manas Kumar, Misra Satyajeet, Patra Susama, Mohakud Sudipta

机构信息

Department of Surgical Oncology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Department of Surgical Oncology, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India.

出版信息

J Minim Access Surg. 2021 Jul-Sep;17(3):405-407. doi: 10.4103/jmas.JMAS_267_20.

DOI:10.4103/jmas.JMAS_267_20
PMID:33885015
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8270036/
Abstract

Minimally invasive esophagectomy (MIE) for oesophageal cancer has gained wide popularity in recent years due to its improved morbidity and mortality outcomes. We describe our modified technique of MIE in prone position with preservation of the arch of azygos vein. In our experience with 14 patients, the mean operative duration was 378 min (standard deviation [SD] 378 ± 59 min) and the mean blood loss was 390 ml (SD 390 ± 142 ml). The mean lymph node count was 28 (range 17-54). The Visick score was I in 12 (85.7%) patients and II in 2 (14.3%) patients at follow-up. The preservation of azygos vein arch is a technically feasible procedure and may be associated with a better quality of life outcome.

摘要

近年来，由于微创食管癌切除术（MIE）能改善发病率和死亡率结果，该手术已广泛普及。我们描述了我们改良的俯卧位MIE技术，即保留奇静脉弓。根据我们对14例患者的经验，平均手术时间为378分钟（标准差[SD]378±59分钟），平均失血量为390毫升（SD 390±142毫升）。平均淋巴结计数为28个（范围17 - 54个）。随访时，12例（85.7%）患者的Visick评分为I级，2例（14.3%）患者为II级。保留奇静脉弓是一种技术上可行的手术，可能与更好的生活质量结果相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/8270036/df0c4f078868/JMAS-17-405-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/8270036/11e460e2c067/JMAS-17-405-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/8270036/debc8d36d814/JMAS-17-405-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/8270036/6c617d245426/JMAS-17-405-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/8270036/c9aa58ee8b02/JMAS-17-405-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/8270036/df0c4f078868/JMAS-17-405-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/8270036/11e460e2c067/JMAS-17-405-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/8270036/debc8d36d814/JMAS-17-405-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/8270036/6c617d245426/JMAS-17-405-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/8270036/c9aa58ee8b02/JMAS-17-405-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/8270036/df0c4f078868/JMAS-17-405-g005.jpg

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本文引用的文献

1
The Visick score: a good measure for the overall effect of antireflux surgery?维西克评分：抗反流手术总体效果的良好衡量指标？
Scand J Gastroenterol. 2008;43(7):787-93. doi: 10.1080/00365520801935467.
2
Minimally invasive esophagectomy: thoracoscopic mobilization of the esophagus and mediastinal lymphadenectomy in prone position--experience of 130 patients.微创食管切除术：俯卧位胸腔镜下食管游离及纵隔淋巴结清扫——130例患者的经验
J Am Coll Surg. 2006 Jul;203(1):7-16. doi: 10.1016/j.jamcollsurg.2006.03.016.
3
Thoracoscopic and laparoscopic esophagectomy for benign and malignant disease: lessons learned from 46 consecutive procedures.
改良McKeown术与传统McKeown术及微创食管切除术对提高食管癌短期疗效和生活质量的比较：一项回顾性队列研究
J Gastrointest Oncol. 2022 Aug;13(4):1579-1588. doi: 10.21037/jgo-22-712.
胸腔镜和腹腔镜食管切除术治疗良性和恶性疾病：从连续46例手术中吸取的经验教训。
J Am Coll Surg. 2003 Dec;197(6):902-13. doi: 10.1016/j.jamcollsurg.2003.07.005.
4
Minimally invasive esophagectomy.微创食管切除术
Ann Thorac Surg. 2000 Sep;70(3):906-11; discussion 911-2. doi: 10.1016/s0003-4975(00)01711-2.
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Comparison of minimally invasive esophagectomy with transthoracic and transhiatal esophagectomy.微创食管切除术与经胸及经裂孔食管切除术的比较。
Arch Surg. 2000 Aug;135(8):920-5. doi: 10.1001/archsurg.135.8.920.