Minimally invasive esophagectomy: practice of the standard of Chinese lymph node dissection
10.3760/cma.j.issn.1001-4497.2018.08.007
- VernacularTitle:微创食管癌根治术——中国淋巴结清扫标准实践
- Author:
Yong ZHANG
1
;
Haiqi HE
;
Xiaomei YANG
;
Donghong GENG
;
Guangjian ZHANG
;
Jiangtao YOU
;
Jian CHEN
;
Junke FU
Author Information
1. 710061,西安交通大学第一附属医院胸外科
- Keywords:
Esophagus;
Lacuna anatomy;
Minimally invasive esophagectomy;
Chinese standard
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(8):473-476
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of the standard of Chinese lymph node dissection in minimally invasive esophagectomy.Methods Methods Between April 2014 to September 2015,63 patients with esophageal carcinoma received minimally invasive esophagectomy by the same group of surgeons.Wedescribed in detail the methods of thoracic esophagus mobilization and lymph node dissection in the peri-esophageal space.We analyzed the surgical effect,postoperative complications and follow-up results.Resnits The average operation time was(280.48 ± 44.28) mins,the median intraoperative blood loss was 100 ml,the mean number of lymph nodes was 22.25-± 11.18;the incidence of postoperative pulmonary infection in 28.57％,hoarseness was 17.46％,anastomotic leakage was 12.70％,postoperative 1 year survival rate was 84.1％,3 year survival rate of 61.1％.Conclusion Mobilization of thoracic esophagus based on peri-esophageal space and dissection lymph nodes guided by the Chinese standard of grouping lymph node would achieve good clinical effects.
