Szántó I, Altorjay A, Kiss J, Vörös A, Nagy P
Haynal Imre Egészségtudományi Egyetem, Sebészeti Klinika, Budapest.
Orv Hetil. 1998 Jan 18;139(3):127-9.
Authors describe a new application of intraoperative endoscopic examination. At operation it is difficult to define the border of a superficial esophageal cancer. The female patient aged 69 years was operated on because of squamous cell cancer. During the operation endoscopic examination was done and the esophageal mucosa was stained with 1% toluidine blue solution. The squamous cancer stained blue. The upper border ot the tumour was determined so that the esophageal wall was palpated from the outside with a probe and the same time the manipulation was being watched on the monitor of the videoendoscope. Subtotal esophagectomy and lymphadenectomy were performed. Authors claim that by the intraoperative use of endoscopic staining the risk recurrence in an anastomosis may be diminished and leaving behind of multifocal carcinoma may be eliminated.
作者描述了术中内镜检查的一种新应用。手术时，很难界定浅表食管癌的边界。一位69岁的女性患者因鳞状细胞癌接受手术。术中进行了内镜检查，并用1%甲苯胺蓝溶液对食管黏膜进行染色。鳞状癌染成了蓝色。通过从外部用探针触摸食管壁来确定肿瘤的上边界，同时在视频内镜的监视器上观察操作情况。实施了食管次全切除术和淋巴结清扫术。作者声称，术中使用内镜染色可降低吻合口复发风险，并消除多灶性癌残留。
