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半俯卧位微创食管切除术治疗腐蚀性食管炎:一例报告

Minimally invasive esophagectomy in the semi-prone position for corrosive esophagitis: a case report.

作者信息

Obitsu Tamotsu, Kiyozaki Hirokazu, Saito Masaaki, Fukai Shota, Abe Iku, Ichida Kosuke, Muto Yuta, Rikiyama Toshiki

机构信息

Department of Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.

出版信息

J Surg Case Rep. 2022 Jul 30;2022(7):rjac218. doi: 10.1093/jscr/rjac218. eCollection 2022 Jul.

Abstract

Treatment strategies for corrosive esophagitis include conservative treatment, such as balloon dilatation at the stenosis site, and surgical treatment. Esophagectomy for corrosive esophagitis is usually performed through the transthoracic or transhiatal approaches. Herein, we report a case of corrosive esophagitis treated with thoracoscopic esophagectomy with the patient in the semi-prone position. The patient was a 48-year-old woman who developed corrosive esophagitis due to accidental ingestion of an alkaline agent. Surgical intervention was required for esophageal stenosis. Therefore, thoracoscopic esophagectomy was performed with the patient in the semi-prone position with bilateral pulmonary ventilation. In our hospital, good operative outcomes have been obtained using thoracoscopic esophagectomy for esophageal cancer with the patient in the semi-prone position with bilateral pulmonary ventilation. This technique is also considered effective for the treatment of corrosive esophagitis.

摘要

腐蚀性食管炎的治疗策略包括保守治疗,如在狭窄部位进行球囊扩张,以及手术治疗。腐蚀性食管炎的食管切除术通常通过经胸或经裂孔途径进行。在此,我们报告一例采用胸腔镜食管切除术并使患者处于半俯卧位治疗腐蚀性食管炎的病例。该患者为一名48岁女性,因意外摄入碱性制剂而发生腐蚀性食管炎。因食管狭窄需要进行手术干预。因此,在患者处于半俯卧位并采用双侧肺通气的情况下实施了胸腔镜食管切除术。在我们医院,采用胸腔镜食管切除术并使患者处于半俯卧位且双侧肺通气治疗食管癌已取得了良好的手术效果。该技术也被认为对治疗腐蚀性食管炎有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d6/9341224/3b3778ba032c/rjac218f1.jpg

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