腹腔镜联合胸腔镜辅助小切口食管癌根治术的临床应用

目的:探讨腹腔镜联合胸腔镜辅助小切口行食管癌根治术的安全性及可行性。方法:回顾分析为43例患者行腹腔镜联合胸腔镜辅助小切口食管癌根治术的临床资料。结果:43例手术均获成功,无中转开腹或开胸,无围手术期死亡。手术时间115～300min,平均(191.51±45.59)min,胸部切口长度、术后肛门排气时间及住院时间分别为(17.88±3.77)cm、(3.37±1.09)d、(17.33±4.06)d。淋巴结清扫总数、纵隔及腹腔淋巴结清扫数分别为(23.49±5.93)枚、(12.09±4.81)枚及(11.35±4.26)枚。6例发生手术相关并发症,均经治疗痊愈。全组术后近期随访效果良好。结论:腹腔镜联合胸腔镜辅助小切口行食管癌根治术安全可行,是微创、有效的手术方法。

Clinical application of laparoscopic and thoracoscopic Ivor Lewis esophagectomy for esophageal carcinoma

Objective:To investigate the feasibility and safety of laparoscopic and thoracoscopic Ivor Lewis surgery for esophageal carcinoma.Methods:Retrospective analysis was made on the clinical data of 43 patients with esophageal carcinoma who were treated by laparoscopic and thoracoscopic Ivor Lewis surgery.Results:All operations were successful without conversion to open surgery.No perioperative mortality occurred.The operating time was 115-300min,with the mean time of (191.51±45.59)min,the mean length of thorax incision,first flatus time,hospital stay was (17.88±3.77)cm,(3.37±1.09)d and (17.33±4.06)d,respectively.The number of harvested lymph nodes of total,the mediastinum and the abdomen was (23.49±5.93),(12.09±4.81) and (11.35±4.26),respectively.The post-operative short-term result was good including 6 cases with complication.Conclusions:Laparoscopic and video-assisted thoracoscopic surgery for esophageal carcinoma is a safe,feasible,effective and minimally invasive surgical technique.