胸腔镜微创外科治疗食管疾病

目的　探讨胸腔镜治疗食管疾病的可行性 ,并介绍手术具体操作方法。方法　 1995年 3月以来 ,经胸腔镜施行食管疾病手术 5 5例 ,包括食管平滑肌瘤切除术 13例 ,贲门失弛缓症肌层切开术2 2例 ,胸段食管癌切除 18例 ,食管憩室切除 2例。结果　除 4例因胸腔粘连和肿瘤外侵周围组织严重转开胸手术外 ,其余病例顺利完成手术。术后发生并发症 5例 ,无手术死亡。结论　胸腔镜治疗某些食管疾病就技术而言是可行的 ,对食管恶性肿瘤应当严格掌握适应证 ,注意肿瘤根治程度

Treatment of esophageal diseases by VATS

Objective to study the feasibility of treatment of esophageal diseases by video assisted thoracoscopic surgery(VATS). Methods 55 patients with esophageal disease received VATS since March 1995. 13 patients had esophageal leiomyoma, 22 achalasia, 18 esophageal carcinoma and 2 esophageal diverticula. Results VATS was performed successfully in 51 patients. 4 patients were converted into thoracotomy owing to invasion or extensive adhesion. Postoperative complications occurred in 5 patients. There was no operative death.. Conclusion It is feasibility to apply thoracoscopy to the treatment of certain kinds of esophageal diseases. But for malignancies operative indications should be strict and follow the principle of radical resection.