电视胸腔镜在食管疾病诊断与治疗中的应用  

Diagnosis and treatment of esophageal diseases by video-assisted thoracoscopic surgery

作　　者：刘伦旭[1] 赵雍凡[1] 黄旭中[1] 

机构地区：[1]四川大学华西医院胸心血管外科,成都610041

出　　处：《中国胸心血管外科临床杂志》2004年第3期219-221,共3页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：电视胸腔镜手术 (VATS)作为一种微创技术应用于食管疾病的诊断和治疗已 10年左右 ,其优点为减少术后早期和长期胸痛 ,减少术后呼吸道并发症 ,符合美学要求。 VATS食管癌分期主要是评估食管癌外侵和转移情况 ,有助于选择合适的治疗方案。VATS治疗食管癌主要应用于早期食管癌切除 ,但由于手术部位多 ,操作较繁杂 ,应用受到一定的限制 ;而对食管良性疾病 ,如平滑肌瘤。Mini-invasive video-assisted thoracoscopic surgery (VATS) has been employed in diagnosis and treatment of esophageal diseases for about 10 years. The potential advantages of VATS over thoracotomy are reduction of chest pain just after the operation and in the long run, lower incidence of postoperative respiratory complications, and reduction of aesthetic sequelae. Thoracoscopic staging of esophageal cancer is to evaluate the invasion and metastasis of cancer, which is helpful for better selection of patients for appropriate treatment .Operation of esophageal cancer with VATS is prescribed mainly in the early stage of carcinoma, but it's application is restricted due to the multiple sites of operation and complexity of procedures. VATS for benign esophageal diseases such as esophageal leiomyoma and achalasia is becoming the preferable choice of operation in qualified medical centers.

关 键 词：电视胸腔镜 食管疾病 食管癌 食管平滑肌瘤 贲门失弛缓症 

分 类 号：R655.4[医药卫生—外科学]