侧俯卧位下胸腔镜食管切除术治疗食管癌的临床应用  

Clinical application of thoracoscopic surgery for esophageal neoplasms in lateral prone position

作　　者：侯予龙[1] 郭伟[1] 杨志健[2] 赵建强[1] 

机构地区：[1]江苏省南京医科大学附属淮安第一医院胸心外科,223300 [2]江苏省人民医院心脏科

出　　处：《中华全科医师杂志》2013年第10期837-838,共2页Chinese Journal of General Practitioners

基　　金：江苏省博士后科研资助计划（1201079C）;南京医科大学科技发展基金重点项目（2011NJMU237）

摘　　要：回顾分析2010年2月至2012年11月我院行侧俯卧位下胸腔镜食管切除术治疗的33例食管癌患者临床资料.患者均为T3N1M0以下分期,手术采用胸腔镜游离胸段食管并清扫纵隔淋巴结,开腹游离胃行食管胃颈部吻合.结果提示,临床分期在T3N1M0以下食管癌患者采取侧俯卧位时能够更好地显露食管和周围组织,利于食管切除和淋巴结的清扫,在中转开胸时能够更迅速简便地改变体位.Thirty-three patients with esophageal carcinoma （T3N^M0 or less ） underwent thoracoseopic surgery in lateral prone position for esophagectomy from February 2010 to November 2012. Their postoperative outcomes and survivals were retrospectively analyzed. The results confirmed the feasibility and safety of this mini-invasive thoracoscopic procedure in lateral prone position for patients with esophageal carcinoma. A possible advantage of lateral prone technique is that in case of an emergency switch to open surgery, precious time may be saved in changing body position.

关 键 词：食管肿瘤 体位 

分 类 号：R735.1[医药卫生—肿瘤]