电视胸腔镜腹腔镜联合下食管癌手术的体会  

Laparoscope and video-assisted thoracoscopic surgery in esophageal carcinoma

作　　者：戴亚伟[1] 胡浩忠 宋志华[1] 孙建光[1] 陶国伟[1] 

机构地区：[1]海盐县人民医院,浙江嘉兴314300

出　　处：《腹腔镜外科杂志》2005年第6期331-332,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨电视胸腔镜腹腔镜联合下食管癌手术的可行性.方法:术前准备同常规开胸手术.分3步操作,第1步:胸腔内食管游离和淋巴结清扫;第2步:腹腔镜下胃游离及淋巴结清扫;第3步:颈部食管游离及食管胃吻合.结果:本组3例无中转开胸者.手术时间5～7h,术中出血200～400ml,术后均顺利恢复,无明显并发症发生.结论:此手术安全可行,可逐步推广.Objective： To study the feasibility of using laparoseope and video-assisted thoracoscopic surgery （ VATS ） in radical correction of esophageal carcinoma. Methods：The preparation same as conventional tnoraeotomy. Operation included three stages. First stage： the dissociation of chest section of esophagus and lymph node scavenging under thoraeoscope. Second stage： gastral dissociation and lymph node scavenging under laparoscope. Third stage ： the dissociation of fcervical section of esophagus and inosculation of esophagus and stomachus. Results： Three cases was operated under VATS and laparoscope. There was no thoracotomy case . Operating time was in 5-7 hours, average amount of bleeding was in 200-400ml, all cases postoperative recovery were successfull. There was no complicatoin in all cases. Conclusions： This operation is safe and should be applied generally step by step.

关 键 词：食管肿瘤 胸腔镜检查 腹腔镜检查 

分 类 号：R735.1[医药卫生—肿瘤]