经左胸后外侧小切口食管癌根治术60例体会  

Experience of 60 cases of trans-left-thoracic posterolateral incision esophageal cancer radical surgery

作　　者：张合明[1] 张希军[1] 原爱杰 林枫[1] 

机构地区：[1]河南省汤阴县人民医院,河南汤阴456150

出　　处：《中国医药导报》2011年第24期167-168,共2页China Medical Herald

摘　　要：目的：探讨左胸后外侧小切口食管癌根治术的方法和效果。方法：我院胸外科从2006年1月~2009年12月,经左胸后外侧小切口开胸,不切断肋骨,不切断胸大肌和背阔肌,术中用大S状拉钩和两个压肠板牵拉暴露,深部打结用直角钳推入深部完成,食管胃胸顶吻合用吻合器吻合,颈部吻合用手工吻合,共完成手术60例。结果：完成手术60例,切口长10~13 cm,平均11 cm,手术时间2~4 h,平均（180±10）min,开关胸时间为5~10 min;术中出血量80~300 ml,平均130 ml,均未给予输血。结论：该术式具有切口小、创伤轻、术后疼痛轻、康复快、并发症少、切口隐蔽美观、效果满意的优点。Objective：To investigate the surgical methods and effects of trans-left-thoracic posterolateral incision esophageal cancer radical surgery.Methods：From January 2006 to December 2009,60 surgeries were completed in the Department of thoracic surgery in our hospital using the following methods：Open the chest through the left-thoracic posterolateral incision without cutting off the ribs,pectoralis major and latissimus dorsi.Large S-shaped retractors and two intestinal depressors were used for exposure.Deep knot tying was completed by pushing into the deep part with right-angle clamp.Gastroesophageal thoracic top anastomosis was completed with anastomat.Results：60 surgeries were completed,with the incision length of 10-13 cm and an average of 11 cm,the operative time of 2-4 hours and an average of（180 ±10）min,the thorax open and close time of 5-10 min,and the intraoperative blood loss of 80-300 ml and an average of 130 ml.None was given blood transfusion.Conclusion：The surgical method has advantages such as small incision,light trauma,light postoperative pain,rapid recovery,few complications,hidden incision and good effects.

关 键 词：食管癌 开胸术 小切口 

分 类 号：R735.1[医药卫生—肿瘤]