摘要
目的：探讨全胸腔镜联合腹腔镜食管癌切除及胸、腹腔淋巴结清扫手术治疗食管癌的可行性、安全性。方法：回顾分析我院2009年10月至2011年8月61例全胸腔镜联合腹腔镜食管癌切除及胸、腹腔淋巴结清扫的患者资料。结果：61例患者手术均获成功,无围手术期死亡。手术时间290~460 min,平均（365.65±45.48）min。术中中转小切口开胸1例,中转开胸率1.64%。术后并发症发生率低,颈部吻合口瘘2例（3.28%）,肺部感染2例（3.28%）,空肠梗阻1例（1.64%）。术后住院时间平均（11.91±2.91）d,食管癌患者手术中清扫淋巴结总数平均（29.13±9.18）枚。结论：全胸腔镜联合腹腔镜食管癌切除及胸、腹腔淋巴结清扫治疗食管癌安全可行。
Objective:To investigate the feasibility and safety of completely thoracoscopic and laparoscopic esophagectomy with two-field lymphadenectomy for esophageal carcinoma.Methods:Retrospective analysis was made on the clinical data of 61 patients with esophageal carcinoma who were treated by completely thoracoscopic and laparoscopic esophagectomy with two-field lymphadenectomy from October 2009 to August 2011.Results:All operations were successful.No perioperative mortality occurred.The operating time was 290~460 min,with the mean time of(365.65±45.48) min.Among the 61 patients,1.64%(1/64) were switched to open thoracic operation.There was low incidence of postoperative complications.Anastomotic leakages occurred in 2 patients(3.28%).Pulmonary infections occurred in 2 patients(3.28%).Jejunal obstruction occurred in 1 patient(1.64%).The average postoperative length of stay was(11.91±2.91) days.The average number of dissected lymph nodes was(29.13±9.18).Conclusion:Completely thoracoscopic and laparoscopic esophagectomy with two-field lymphadenectomy for esophageal carcinoma is safe and feasible.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2011年第12期1517-1519,共3页
Journal of Chongqing Medical University
关键词
全胸腔镜
腹腔镜
食管癌
食管切除术
completely thoracoscopic
laparoscopy
esophageal carcinoma
esophagectomy
