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胸腔镜联合腹腔镜食管癌切除术治疗40例食管癌的临床分析
引用本文:杜铭,陈焕文,吴庆琛,杨双强,张祖旺.胸腔镜联合腹腔镜食管癌切除术治疗40例食管癌的临床分析[J].第三军医大学学报,2010,32(7).
作者姓名:杜铭  陈焕文  吴庆琛  杨双强  张祖旺
作者单位:重庆医科大学附属第一医院心胸外科,重庆,400016
摘    要:目的探讨胸腔镜联合腹腔镜食管癌切除的临床经验。方法从2008年11月至2009年9月我们采用胸腔镜联合腹腔镜食管癌切除术治疗食管癌患者40例。其中男性30例,女性10例,年龄52~78岁。平均65岁。病变部位:食管上段癌2例,中段癌32例,下段癌6例;病理类型为鳞癌39例,腺癌1例。在胸腔镜下游离食管及清扫淋巴结,在腹腔镜下游离胃,经胸骨后隧道上提至颈部行食管胃吻合。结果3例因胸腔粘连,1例因肿瘤明显外侵而胸部中转辅助小切口,腹部无中转开腹。全组手术时间240~320min,平均270min,胸腔镜时间45~90min,平均60min,腹腔镜时间45~90min,平均60min。术中出血150~300ml,平均200ml。淋巴结切除8~20枚,平均11.8枚。术后住院10~13d,平均11d。术中无出血并发症。术后并发症:颈部吻合口瘘6例(术后第8~14天),经伤口换药均能痊愈;术后无乳糜胸、肺部感染、肺功能不全。术后病理分期:Ⅰ期1例,Ⅱ期34例,Ⅲ期5例。随访患者39例,失访1例。随访时间3~12个月,平均7.3个月。结论按照此设计进行胸腹腔镜食管癌切除术,可最大限度地减小创伤及并发症,操作简单易行,容易...

关 键 词:胸腔镜检查  腹腔镜检查  食管肿瘤  病理学  临床  

Thoracoscopic and laparoscopic esophagectomy for esophageal carcinoma:report of 40 cases
Du Ming,Chen Huanwen,Wu Qingchen,Yang Shuangqiang,Zhang Zuwang.Thoracoscopic and laparoscopic esophagectomy for esophageal carcinoma:report of 40 cases[J].Acta Academiae Medicinae Militaris Tertiae,2010,32(7).
Authors:Du Ming  Chen Huanwen  Wu Qingchen  Yang Shuangqiang  Zhang Zuwang
Institution:Department of Thoracic and Cardiovascular Surgery;First Affiliated Hospital;Chongqing Medical University;Chongqing;400016;China
Abstract:Objective To explore the clinical experience of thoracoscopic and laparoscopic esophagectomy for esophageal carcinoma.MethodsFrom November 2008 to September 2009,40 cases of esophageal carcinoma were performed in our department by this way.Forty patients were 30 males and 10 females,and aged from 52 to 78(average 65).There were 2 cases of carcinoma of the upper esophagus,32 cases of carcinoma of the middle esophagus,and 6 cases of carcinoma of the next segment.The pathological types were 39 cases of squamou...
Keywords:thoracoscopy  laparoscopy  esophageal neoplasms  pathology  clinical  
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