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

DENG Fan; KANG Ming-qiang; CHEN Shu-chen

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

更新时间：2024-01-17

- Clinical application of completely thoracoscopic and laparoscopic Ivor Lewis esophagectomy for esophageal carcinoma
- Journal of Chongqing Medical University Vol. 36, Issue 12, Pages: 1517-1519(2011)
- 作者机构：
  
  福建医科大学附属协和医院胸外科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R735.1
- Published：2011，
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[1]邓帆,康明强,陈舒晨.全胸腔镜联合腹腔镜食管癌手术的临床应用[J].重庆医科大学学报,2011,36(12):1517-1519.

DENG Fan, KANG Ming-qiang, CHEN Shu-chen. Clinical application of completely thoracoscopic and laparoscopic Ivor Lewis esophagectomy for esophageal carcinoma. [J]. Journal of Chongqing Medical University 36(12):1517-1519(2011)
[1]邓帆,康明强,陈舒晨.全胸腔镜联合腹腔镜食管癌手术的临床应用[J].重庆医科大学学报,2011,36(12):1517-1519. DOI：

DENG Fan, KANG Ming-qiang, CHEN Shu-chen. Clinical application of completely thoracoscopic and laparoscopic Ivor Lewis esophagectomy for esophageal carcinoma. [J]. Journal of Chongqing Medical University 36(12):1517-1519(2011) DOI：

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

60 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。

Abstract

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.

关键词

全胸腔镜腹腔镜食管癌食管切除术

Keywords

completely thoracoscopiclaparoscopyesophageal carcinomaesophagectomy

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