Clinical comparative study of 3D and 2D single-portal inflatable mediastinoscopic and laparoscopic esophagectomy for esophageal cancer
- VernacularTitle:3D 与 2D 单孔充气式纵隔镜联合腹腔镜食管癌根治术的近期疗效对比研究
- Author:
Rongqiang WEI
1
;
Zihao CHEN
1
;
Kenan HUANG
1
;
Xinyu DING
1
;
Zhifei XU
1
;
Hua TANG
1
Author Information
1. Minimally Invasive Thoracic Surgery Center, Changzheng Hospital, Naval Military Medical University, Shanghai, 200003, P.R.China
- Publication Type:Journal Article
- Keywords:
Minimally invasive surgery;
3D;
single-portal inflatable mediastinoscopy;
esophagectomy;
esophageal cancer
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(02):233-238
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of 3D single-portal inflatable mediastinoscopic and laparoscopic esophagectomy for esophageal cancer. Methods Clinical data of 28 patients, including 25 males and 3 females, aged 51-76 years, with esophageal squamous cell carcinoma undergoing single-portal inflatable mediastinoscopic and laparoscopic esophagectomy from June 2018 to June 2019 were retrospectively analyzed. Patients were divided into two groups according to different surgical methods including a 3D mediastinoscopic group (3D group, 10 patients) and a 2D mediastinoscopic group (2D group, 18 patients). The perioperative outcome of the two groups were compared. Results Compared with the 2D group, the 3D group had shorter operation time (P=0.017), more lymph nodes resected (P=0.005) and less estimated blood loss (P=0.015). There was no significant difference between the two groups in the main surgeon's vertigo and visual ghosting (P>0.05). The other aspects including the indwelling time, postoperative hospital stay, pulmonary infection, arrhythmia, anastomotic fistula, recurrent laryngeal nerve injury were not statistically significant between the two groups (P>0.05). Conclusion The 3D inflatable mediastinoscopic and laparoscopic esophagectomy for esophageal cancer, which optimizes the surgical procedures of 2D, is safe and feasible, and is worthy of clinical promotion in the future.
