Video-assisted thoracoscopic surgery in the management of esophageal carcinoma:A report of 16 cases
- VernacularTitle:电视胸腔镜食管癌切除术16例报告
- Author:
Ming ZHANG
- Publication Type:Journal Article
- Keywords:
Esophageal carcinoma;
Video-assisted thoracoscopic surgery
- From:Chinese Journal of Minimally Invasive Surgery
2001;0(03):-
- CountryChina
- Language:Chinese
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Abstract:
Objective To investigate the technique and feasibility of video-assisted thoracoscopic surgery (VATS) in the treatment of esophageal carcinoma. Methods Sixteen patients with esophageal carcinoma underwent esophagectomy by VATS between October 2002 and October 2003. The tumors were found in mid-segment in 13 patients and lower segment in 3 patients. Their TNM staging was: stage T 1 2 patients, stage T 2 5 patients and stage T 3 9 patients; stage Ⅰ 2 patients, stage Ⅱ 8 patients and stage Ⅲ 6 patients. Results No conversion to open surgery was required. The operation time of VATS was 90~150 min (mean, 110 min). The number of removed mediastinal lymph nodes was 6~14 (mean, 7.3). Drainage tube was taken out 2~3 days after operation and the drainage volume was 300~600 ml. No complications were seen. Conclusions VATS for esophageal carcinoma is feasible. Indications for VATS should be stage Ⅰ~Ⅱ and in addition no outward infiltration (≤stage T 3).