[1]古卫权,杨劼*,杨胜利,等.两孔胸腔镜食管癌根治术43例临床体会[J].中国微创外科杂志,2018,18(6):501-502.
　Gu Weiquan,Yang Jie,Yang Shengli,et al.Experiences of Two-port Video-assisted Thoracoscopic Surgery for Esophageal Carcinoma: Report of 43 Cases[J].Chinese Journal of Minimally Invasive Surgery,2018,18(6):501-502.
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两孔胸腔镜食管癌根治术43例临床体会()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年6期
页码:
501-502
栏目:
临床研究
出版日期:
2018-09-30

文章信息/Info

Title:
Experiences of Two-port Video-assisted Thoracoscopic Surgery for Esophageal Carcinoma: Report of 43 Cases
作者:
古卫权; 杨劼*; 杨胜利; 叶俊; 王飞; 肖叶; 罗灵均; 张小文; 赵宁
中山大学附属佛山医院广东省佛山市第一人民医院胸外科，佛山528000
Author(s):
Gu Weiquan;  Yang Jie;  Yang Shengli;  et al.
Department of Thoracic Surgery, First People’s Hospital of Foshan, Foshan 528000, China
关键词:
两孔; 电视胸腔镜手术; 食管癌
Keywords:
Two-port; Video-assisted thoracoscopic surgery; Esophageal carcinoma
文献标志码:
A
摘要:
目的探讨两孔胸腔镜食管癌根治术的可行性及效果。方法2015年1月~2017年6月行两孔胸腔镜食管癌根治术43例，胸上段4例，胸中段25例，胸下段14例。术前病理明确为鳞状细胞癌。采用两孔胸腔镜游离胸段食管、清扫淋巴结，开腹游离胃，颈部食管胃端侧吻合术。结果全组手术均获成功，其中2例因胸膜广泛致密粘连中转开胸手术。胸部手术时间90~120 min，平均96 min；术中出血50~200 ml，平均90 ml；术后胸管引流量110~300 ml，平均156 ml；术后5~8 d拔胸管，平均6.2 d；术后住院13~20 d，平均14.2 d。全组无严重并发症，无死亡。术后病理分期：pT1N0M0 1例，pT1N1M0 5例，pT1N2M0 1例，pT2N0M0 13例，pT2N1M0 5例，pT2N2M0 2例，pT3N0M0 13例，pT3N1M0 2例，pT3N2M0 1例。全组43例随访2~30个月，中位数20个月，无复发转移。结论两孔胸腔镜食管癌根治术安全、可行，值得推广。
Abstract:
ObjectiveTo investigate the feasibility and clinical effect of two-port video-assisted thoracoscopic surgery (VATS) for the treatment of esophageal carcinoma.MethodsFrom January 2015 to June 2017, 43 patients with esophageal carcinoma were treated with radical esophagectomy by two-port VATS, including 4 cases in the upper thoracic esophagus, 25 cases in the middle thoracic esophagus, and 14 cases in the lower thoracic esophagus. Their pathological diagnoses were squamous cell carcinoma before operation. The thoracic esophagus was mobilized and the thoracic lymph nodes were dissected by two-port VATS. And the stomach was mobilized and the abdominal lymph nodes were dissected by laparotomy. The cervical esophagogastrostomy was completed.ResultsAll the operations were successful. There were 2 cases converted to open surgery because of tight pleural adhesions. The thoracoscopic operative time ranged from 90 min to 120 min (mean, 96 min). The blood loss ranged from 50 ml to 200 ml (mean, 90 ml). The thoracic drainage flow ranged from 110 ml to 300 ml (mean, 156 ml). The thoracic drainage time ranged from 5 d to 8 d (mean, 6.2 d). The postoperative hospital stay ranged from 13 d to 20 d (mean, 14.2 d). All the patients recovered and were discharged from hospital without severe operative and postoperative complications. There was no death. Postoperative pathological staging showed pT1N0M0 in 1 case, pT1N1M0 in 5 cases, pT1N2M0 in 1 case, pT2N0M0 in 13 cases, pT2N1M0 in 5 cases, pT2N2M0 in 2 cases, pT3N0M0 in 13 cases, pT3N1M0 in 2 cases, and pT3N2M0 in 1 case. All the 43 cases were followed up for 2-30 months (median, 20 months) without recurrence and metastasis. ConclusionTwo-port VATS for the treatment of esophageal carcinoma is technically safe and feasible with minimal trauma and less complications.

参考文献/References:

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备注/Memo

备注/Memo:
*通讯作者，E-mail:yjie@fsyyy.com
更新日期/Last Update: 2018-09-30