单操作孔胸腔镜联合腹腔镜在McKeown食管癌根治术中的应用评估

李宗荣; 李柏钧; 卢昌超; 周一凡; 钟永泷; 罗金龙

doi:10.16016/j.1000-5404.201702071

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单操作孔胸腔镜联合腹腔镜在McKeown食管癌根治术中的应用评估

临床医学 | 更新时间：2026-01-09

- 单操作孔胸腔镜联合腹腔镜在McKeown食管癌根治术中的应用评估
- Evaluation of single-utility incision thoracoscopy combined with laparoscopy in radical McKeown esophagectomy for esophageal cancer
- 第三军医大学学报 2017年39卷第18期页码：1854-1858
- 作者机构：
  
  530021 南宁，广西壮族自治区人民医院心胸外科
- 作者简介：
  
  [ 李柏钧，E-mail:2364313910@qq.com LI Bojun, E-mail:2364313910@qq.com
- 基金信息：
  
  广西壮族自治区卫计委自筹课题(Z2016603);广西壮族自治区卫生厅重点科研课题(Z2010030);广西壮族自治区卫生厅重点科研课题(Z2009136)
- DOI：10.16016/j.1000-5404.201702071
  中图分类号： R615;R730.56;R735.1
- 收稿：2017-03-21，
  
  修回：2017-04-26，
  
  纸质出版：2017-09-30
- 稿件说明：
移动端阅览
李宗荣, 李柏钧, 卢昌超, 等. 单操作孔胸腔镜联合腹腔镜在McKeown食管癌根治术中的应用评估[J]. 第三军医大学学报, 2017,39(18):1854-1858.

Zongrong LI, Bojun LI, Changchao LU, et al. Evaluation of single-utility incision thoracoscopy combined with laparoscopy in radical McKeown esophagectomy for esophageal cancer[J]. Journal of Third Military Medical University, 2017, 39(18): 1854-1858.
李宗荣, 李柏钧, 卢昌超, 等. 单操作孔胸腔镜联合腹腔镜在McKeown食管癌根治术中的应用评估[J]. 第三军医大学学报, 2017,39(18):1854-1858. DOI： 10.16016/j.1000-5404.201702071.

Zongrong LI, Bojun LI, Changchao LU, et al. Evaluation of single-utility incision thoracoscopy combined with laparoscopy in radical McKeown esophagectomy for esophageal cancer[J]. Journal of Third Military Medical University, 2017, 39(18): 1854-1858. DOI： 10.16016/j.1000-5404.201702071.

摘要

目的

评估单操作孔胸腔镜联合腹腔镜在McKeown食管癌根治术中的安全性及可行性。

方法

分析广西壮族自治区人民医院心胸外科2015年1月至2016年1月40例接受McKeown食管癌根治术的中下段食管癌患者资料，其中11例行单操作孔胸腔镜联合腹腔镜McKeown食管癌根治术(single-utility incision total endoscopy McKeown esophagectomy

sTEME)，29例行三孔胸腔镜腹部开放McKeown食管癌根治术(three-port thoracoscope combined with laparotomy McKeown esophagectomy，tTLME)，比较两组的术中情况、手术结果及术后并发症的发生率。

结果

两组在胸部手术时间、胸部术中出血量及胸部淋巴结清扫数量方面差异无统计学意义(

0.05)；sTEME组的腹部手术时间较tTLME组长(

0.05)，腹部术中出血量、术后24 h疼痛指数评分及术后住院时间优于tTLME组(

0.05)。两组腹部淋巴结清扫数、术后重症监护时间、术后并发症发生率及术后6个月淋巴结复发转移情况差异无统计学意义(

0.05)。

结论

单操作孔胸腔镜联合腹腔镜McKeown术治疗中下段食管癌可行，虽然会延长手术时间，但手术创伤小、住院时间短、近期效果满意。

Abstract

Objective

To evaluate the safety and the feasibility of single-utility incision thoracoscopy combined with laparoscopy in radical McKeown esophagectomy (sTLME) for esophageal cancer.

Methods

Clinical data of 40 patients with esophageal carcinoma undergoing minimally invasive esophagectomy in our department from January 2015 to January 2016 were collected and retrospectively analyzed. Among the 40 patients

11 patients underwent sTLME

and the other 29 subjects were treated with three-port thoracoscopy combined with laparotomy McKeown esophagectomy (tTLME). The patient's surgery situations

operative outcomes

and postoperative complications were compared between the 2 groups.

Results

There were no significant differences in thoracic operative time

blood loss and number of lymph node dissection between the sTLME and tTLME groups (

0.05). But the sTEM group though had a longer abdominal operative time (

0.05)

it had less blood loss

lower postoperative pain index and shorter length of hospital stay (

0.05). However

no significant differences were observed in number of abdominal lymph node dissection

post-operative duration for intensive care

occurrence of post-operative complications

and recurrence and metastasis in lymph node within 6 months between the 2 groups (

0.05).

Conclusion

sTLME is feasible for middle and lower esophageal cancer. Although it will extend the operation time

but has less surgical trauma

shorter hospital stay and satisfactory short-term outcomes.

关键词

Keywords

references

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