Wei Hai-Tao, Zhang Sa, Liu Yang-Yang, Zhang Hai-Feng, Wang Xiao-Long, Li Li
Department of Thoracic Surgery, Huaihe Hospital, Henan University, Kaifeng, 475001, Henan, China.
College of Nursing and Health, Henan University, Kaifeng, 475001, Henan, China.
Eur J Med Res. 2025 Apr 15;30(1):287. doi: 10.1186/s40001-025-02550-2.
To explore the technical innovation and clinical application effect of inflatable mediastinoscopy synchronous laparoscopic radical resection of esophageal cancer.
The clinical data of 180 patients with esophageal cancer treated by the same surgical team from January 2018 to December 2019 were retrospectively analyzed. The patients were divided into the inflatable mediastinoscopy synchronous laparoscopic group (n = 93) and the McKeown group (n = 87) according to the surgical approach. Preoperative general baseline data, perioperative indices, postoperative indices, and short- and long-term survival rates were recorded and statistically analyzed for both groups.
Compared to McKeown's procedure, the inflatable mediastinoscopy synchronized laparoscopic esophagectomy was associated with relatively less operative time, blood loss, and hospital stay, specifically (94.46 ± 20.17) minutes, (36.76 ± 16.63)ml, and (13.63 ± 2.57) days, respectively. At the same time, the postoperative complication rate of the inflatable mediastinoscopy synchronized laparoscopic esophagectomy was low compared to the postoperative complication rate of McKeown's procedure.
Compared with the traditional McKeown procedure, the patients treated with inflatable mediastinoscopy synchronous laparoscopic radical resection of esophageal cancer have a lower incidence of thoracic complications, shorter operation time, less pain, and faster postoperative recovery so that it can be used as a new supplementary method for mainstream McKeown radical resection of esophageal cancer.
探讨充气纵隔镜同步腹腔镜食管癌根治术的技术创新及临床应用效果。
回顾性分析2018年1月至2019年12月同一手术团队治疗的180例食管癌患者的临床资料。根据手术方式将患者分为充气纵隔镜同步腹腔镜组（n = 93）和麦克尤恩组（n = 87）。记录两组患者术前一般基线资料、围手术期指标、术后指标以及短期和长期生存率，并进行统计学分析。
与麦克尤恩手术相比，充气纵隔镜同步腹腔镜食管癌切除术的手术时间、失血量和住院时间相对较短，分别为（94.46 ± 20.17）分钟、（36.76 ± 16.63）毫升和（13.63 ± 2.57）天。同时，充气纵隔镜同步腹腔镜食管癌切除术的术后并发症发生率低于麦克尤恩手术的术后并发症发生率。
与传统的麦克尤恩手术相比，采用充气纵隔镜同步腹腔镜食管癌根治术治疗的患者胸内并发症发生率较低，手术时间较短，疼痛较轻，术后恢复较快，因此可作为主流的麦克尤恩食管癌根治术的一种新的补充方法。
