Combined endoscopic esophagectomy for esophageal cancer
- VernacularTitle:腔镜在食管癌根治术中的应用(附40例报道)
- Author:
Zhifei XU
;
Bin WU
;
Ming QIU
- Publication Type:Journal Article
- Keywords:
Esophageal neoplasms Thoracoscopy Thoracic surgery, video-assisted Mediastinoscopy
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2003;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and technique of combined endoscopic resection of esophageal carcinoma with VATS. Methods From April 2004 to November 2005, 32 patients with esophageal carcinoma underwent esophagectomy, including 10 cases by routin thoracotomy, 20 cases by 6cm thoracotomy associated with VATS and 2 cases by mediastinoscope and laparoscope. Gastric mobilization was performed with laparoscope in all patients. Results All the gastric mobilizations were successfully performed by laparoscope without blood transfusion. The number of removed celiac lymph nodes by laparoscopic surgery was 5.5?1.9. 20 patients underwent esophagectomy by minithoracotomy associated with VATS successfully, without conversion to open surgery. The number of removed mediastinal lymph nodes was 10.3?2.7. Postoperative complications included arrhythmia (4 patients), bleeding in chest (1 patient) and functional gastric obstruction (1 patient). 2 patients underwent esophagectomy by mediastinoscope and laparoscope successfully, no bleeding and no postoperative complications occurred. All patients were followed up from 1 to 20 months; no postoperative death and tumor recurrence were found. Conclusion Resection of esophageal carcinoma by laparoscope associated with VATS is a safe and feasible technique. The method of esophagectomy by minithoracotomy associated with VATS is wirth encouraged.
