[1]张卫强 刘克强 裴迎新 赵京**.腹腔镜下经食管裂孔顺行食管拔脱术治疗上段食管癌1例[J].中国微创外科杂志,2015,15(11):855-856.
　Zhang Weiqiang,Liu Keqiang,Pei Yingxin,et al.Laparoscopic Transhiatal Anterograde Inversion Esophagectomy for Upper Esophagus Cancer: Case Report[J].Chinese Journal of Minimally Invasive Surgery,2015,15(11):855-856.
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腹腔镜下经食管裂孔顺行食管拔脱术治疗上段食管癌1例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
15
期数:
2015年11期
页码:
855-856
栏目:
病例报告
出版日期:
2015-11-20

文章信息/Info

Title:
Laparoscopic Transhiatal Anterograde Inversion Esophagectomy for Upper Esophagus Cancer: Case Report
作者:
张卫强 刘克强 裴迎新 赵京**
（北京军区总医院胸外科，北京100700）
Author(s):
Zhang Weiqiang;  Liu Keqiang;  Pei Yingxin;  et al.
Department of Thoracic Surgery, General Hospital of Beijing Military Command, Beijing 100700, China
关键词:
食管癌; 早期; 腹腔镜; 食管拔脱术; 顺行
Keywords:
Esophageal cancer; Early stage; Laparoscope; Inversion esophagectomy; Anterograde
分类号:
R735.1
文献标志码:
D
摘要:
本文报道1例腹腔镜下顺行食管内翻拔脱术治疗食管癌。患者女，72岁，吞咽不畅1个月，经胃镜和活检病理诊断为上胸段食管鳞状细胞癌。术前分期T1N0M0。2014年12月31日行腹腔镜下顺行食管内翻拔脱术。腹腔镜下用超声刀游离胃、膈食管裂孔和下胸段食管，左颈部切口顺行拔脱食管，经上腹部切口制做管状胃，将管状胃牵至颈部与食管残端吻合。手术过程顺利，手术时间200 min，术中出血量150 ml。术后恢复顺利，第9天进清流食，无呕吐，无反酸，第12天出院。住院期间未发生吻合口漏、声音嘶哑等并发症。术后病理食管鳞癌，淋巴结无转移。术后3个月复诊，进食可，无呕吐，胃酸反流2~3次/d。
Abstract:
On December 31 of 2014, laparoscopic transhiatal anterograde inversion esophagectomy was performed in a 72-year-old female patient for upper thoracic esophageal cancer. The indications and eligibility for this surgery were evaluated. The patient presented with a one-month history of progressive dysphagia. Gastroscopy and pathology revealed upper thoracic esophageal squamous cell carcinoma. Chest CT scanning and endoscopic ultrasonography suggested the clinical stage of T1N0M0. Laparoscopic transhiatal anterograde inversion esophagectomy was given. The lesser and greater curvature and the distal third of esophagus were mobilized. Meanwhile, the cervical esophagus was mobilized and the cervical lymph nodes were dissected. The laparoscopic transhiatal anterograde esophagectomy was performed and linear staplers were used to create a gastric tube. The gastric tube was retracted to the neck. The esophagogastric anastomosis was performed. The operation time was 200 min and the intraoperative blood loss was about 150 ml. The patient was allowed to have liquid diet from the 9th post-operative day. The length of postoperative hospital stay was 12 days. No emptying dysfunction and hoarseness occurred during the hospitalization. No cardiopulmonary complications happened after operation. Post-operative pathology showed esophageal squamous cell carcinoma and no metastatic lymph nodes were found. After 3 months of follow-up, acid reflux occurred 2-3 times per day and there was no dysphagia and vomiting.

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备注/Memo

备注/Memo:
基金项目：吴阶平医学基金（编号：320.6750.14136）**通讯作者，E-mail：congcong.01@163.com
更新日期/Last Update: 2016-02-03