[1]陈海泉,相加庆,缪珑升,等.胸、腹腔镜联合Ivor Lewis食管癌根治术[J].中国微创外科杂志,2009,09(8):707-708.
　Chen Haiquan,Xiang Jiaqing,Miao Longsheng,et al.Laparoscopic and Thoracoscopic Ivor Lewis EsophagectomyChen Haiquan, Xiang Jiaqing, Miao Longsheng, et al. Department of Thoracic Surgery, Fudan University Cancer Hospital, Shanghai 200032, China[J].Chinese Journal of Minimally Invasive Surgery,2009,09(8):707-708.
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胸、腹腔镜联合Ivor Lewis食管癌根治术()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年8期
页码:
707-708
栏目:
出版日期:
2009-08-31

文章信息/Info

Title:
Laparoscopic and Thoracoscopic Ivor Lewis EsophagectomyChen Haiquan, Xiang Jiaqing, Miao Longsheng, et al. Department of Thoracic Surgery, Fudan University Cancer Hospital, Shanghai 200032, China
作者:
陈海泉; 相加庆; 缪珑升; 胡鸿; 罗晓阳
复旦大学附属肿瘤医院胸外科，上海200032
Author(s):
Chen Haiquan;  Xiang Jiaqing;  Miao Longsheng;  et al.
Department of Thoracic Surgery, Fudan University Cancer Hospital, Shanghai 200032, China
关键词:
胸腔镜;  腹腔镜;  食管切除术;  食管癌
Keywords:
Thoracoscopy; Laparoscopy; Esophagectomy; Esophageal carcinoma
分类号:
R735.1
文献标志码:
A
摘要:
目的探讨胸、腹腔镜联合行Ivor Lewis食管癌根治术的可行性和近期疗效。方法2007年12月,胸腹腔镜联合行Ivor Lewis食管癌根治术1例,腹腔镜经5个trocar游离胃，并制作管状胃。胸腔镜经4个trocar游离胸段食管，切除病灶并打开膈肌,将管状胃提至胸顶使用吻合器吻合。所有手术操作均在镜下完成。结果手术时间330 min，术中出血量200 ml,病灶彻底切除,切缘阴性。术后病理为高分化鳞癌，T2N0M0。随访3个月,无复发。结论胸、腹腔镜联合行Ivor Lewis食管癌根治术可行,近期疗效满意。
Abstract:
ObjectiveTo explore the feasibility and shortterm efficacy of combined use of laparoscopic and thoracoscopic Ivor Lewis esophagectomy for the treatment of esophageal carcinoma. MethodsA case of esophageal carcinoma was treated in our hospital in December 2007. Five trocars were used via laparoscopy to free the stomach and create a tubelike stomach. Afterwards, thoracoscopy was carried out via 4 trocars to remove the lesion and open the diaphragm, and then the tubelike stomach was pulled into the chest cavity and anastomosed to the chest wall.ResultsThe operation time was 330 min, and the intraoperative blood loss was 200 ml. The lesion was removed completely with negative cutting edges. Postoperative pathological examination showed squamous cell carcinoma (stage T2N0M0). Followup was available for 3 months, during which no recurrence was found.ConclusionLaparoscopic and thoracoscopic Ivor Lewis esophagectomy is feasible and safe for the treatment of esophageal carcinoma.

参考文献/References:

[1]Higashino M,Takemura M.Indication and limitation of endoscopic surgical procedure for esophageal cancer.Gan To Kagaku Ryoho,2004,31:1481-1484.
[2]Okushiba S,Ohno K,Itoh K.Handassisted endoscopic esophagectomy for esophageal cancer.Surg Today,2003,33:158-161.
[3]Shiozaki H,Imamoto H,Shigeoka H.Minimally invasive esophagectomy with 10 cm thoracotomy assisted thoracoscopy for the thoracic esophageal cancer.Gan To Kagaku Ryoho,2003,30:923-928.
[4]DePaula AL,Hashiba K,Ferreira EB,et al.Transhiatal approach for esophagectomy.In:Toouli J,Gossot D,Hunter JG,eds.Endosurgery.New York:Churchill Livingstone,1996.293-299.
[5]Swanstrom LL,Hansen P.Laparoscopic total esophagectomy.Arch Surg,1997,132(9):943-947.
[6]Luketich JD,Schauer PR,Christie NA,et al.Minimally invasive esophagectomy.Ann Thorac Surg,2000,70:906-912.
[7]Luketich JD,AlveloRivera M,Buenaventura PO,et al.Minimally invasive esophagectomy: outcomes in 222 patients.Ann Surg,2006,238:486-494.

更新日期/Last Update: 2013-09-17