Department of Radiation Oncology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, No. 420 Fuma Rd. Jin'an District, Fuzhou, 350014, Fujian Province, People's Republic of China.
Department of Thoracic Surgery, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, No. 420 Fuma Rd. Jin'an District, Fuzhou, 350014, Fujian Province, People's Republic of China.
Sci Rep. 2023 Sep 28;13(1):16325. doi: 10.1038/s41598-023-41772-4.
The traditional surgical technique for esophageal cancer is mainly open esophagectomy. With the innovation of surgical instruments, it is necessary to re-optimize the minimally invasive surgery. Therefore, single-port thoracoscopic minimally invasive esophagectomy (SPTE) is an important direction of development. This study retrospectively analyzed 202 patients with esophageal squamous cell carcinoma undergoing SPTE. Surgical variables and postoperative complications were further evaluated. All procedures were performed using SPTE. The number of patients who received R0 resection was 201 (99.5%). The total number of resected lymph nodes during the whole operation was on average 32.01 ± 12.15, and the mean number of positive lymph nodes was 1.56 ± 2.51. In 170 cases (84.2%), intraoperative blood loss did not exceed 100 ml (ml), while 1 case had postoperative bleeding. Only 1 patient (0.5%) required reoperation after surgery. Postoperative complications included 42 cases of pneumonia (20.8%), 9 cases of anastomotic leak (4.5%), 7 cases of pleural effusion (3.8%), and 1 case (0.5%) of both pleural hemorrhage and acute gastrointestinal hemorrhagic ulcer. Besides, we also recorded the time to remove the drain tube, which averaged 9.13 ± 5.31 days. In our study, we confirmed that the application of SPTE in clinical practice is feasible, and that the postoperative complications are at a low level.
传统的食管癌手术方法主要是开放性食管切除术。随着手术器械的创新，有必要重新优化微创手术。因此，单孔胸腔镜微创食管切除术（SPTE）是一个重要的发展方向。本研究回顾性分析了 202 例接受 SPTE 的食管鳞癌患者。进一步评估了手术变量和术后并发症。所有手术均采用 SPTE 进行。201 例（99.5%）患者行 R0 切除术。整个手术过程中切除的淋巴结总数平均为 32.01±12.15 个，阳性淋巴结的平均数量为 1.56±2.51 个。在 170 例（84.2%）患者中，术中出血量不超过 100ml（ml），而 1 例患者术后出血。仅 1 例（0.5%）患者术后需要再次手术。术后并发症包括肺炎 42 例（20.8%）、吻合口漏 9 例（4.5%）、胸腔积液 7 例（3.8%）、血气胸 1 例（0.5%）和急性胃肠道出血性溃疡 1 例。此外，我们还记录了引流管拔除的时间，平均为 9.13±5.31 天。在本研究中，我们证实了 SPTE 在临床实践中的应用是可行的，并且术后并发症处于较低水平。
