Clinical application of Ivor-Lewis procedure under uniportal video-assisted thoracoscopy for esophageal cancer
10.3760/cma.j.cn112434-20210629-00217
- VernacularTitle:单孔胸腔镜下Ivor-Lewis食管癌根治术的临床应用
- Author:
Lei WANG
1
;
Xiao LIANG
;
Wei HE
;
Sanhu YANG
;
Yan LI
;
Nana CHEN
;
Tao JIANG
;
Lijun HUANG
Author Information
1. 空军军医大学唐都医院胸腔外科，西安 710038
- Keywords:
Esophageal cancer;
Uniportal video-assisted thoracoscopic surgery;
Ivor-Lewis procedure
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2023;39(1):12-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and feasibility of Ivor-Lewis procedure under uniportal video-assisted thoracoscopy(VATS) for esophageal cancer and Siewert type I esophago-gastric junction carcinoma.Methods:The patients with middle-lower segment esophageal cancer or Siewert type I esophago-gastric junction carcinoma received minimally invasive esophagectomy between October 2020 and June 2021, and the clinical data was collected and analyzed.Results:26 patients received Ivor-Lewis procedure underwent uniportal VATS, while 45 patients underwent McKeown surgery under multiport VATS. The average operation time of patients in the two groups were(265±110)min and (235±94)min, and the average intraoperative blood loss were(80±57)ml and(105±60)ml. The mean number of lymph nodes removed in the surgery were (19.3±2.9) and 18.6±2.7 respectively in two groups, and the mean length of hospital stay was(7.5±3.5)days and(8.3±2.7)days. The incidence of perioperative complications were not significantly different in two groups. The VAS score of patients received Ivor-Lewis procedure underwent uniportal VATS was lower than that of patients received McKeown surgery in ostoperative day 1, day 3, day 7 and 1 month. The difference was statistically significant in two groups( P<0.05). Conclusion:The Ivor-Lewis procedure under uniportal VATS for esophageal cancer and Siewert type I esophago-gastric junction carcinoma has the advantage of less postoperative pain, and the procedure is feasible in clinical practice.
