微创McKeown食管癌手术中气管免牵拉优先处理左喉返神经旁淋巴结的经验分享  

Experience sharing of clearing the left recurrent laryngeal nerve lymph node as priority without tracheal traction in minimally invasive McKeown esophagectomy

作　　者：杨根荣 王晗 赵明理[1] Yang Genrong;Wang Han;Zhao Mingli(Department of Thracic Surgery,the First Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院胸外科,郑州450000

出　　处：《实用医技杂志》2025年第2期152-154,I0004,共4页Journal of Practical Medical Techniques

摘　　要：目的总结微创McKeown食管癌根治术中气管免牵拉优先处理左喉返神经淋巴结的操作技巧并经验分享。方法本团队2023年9月至2024年9月行微创McKeown食管癌根治术12例,采用气管免牵拉优先处理左喉返神经淋巴结的操作技术。结果12例胸部微创操作均顺利完成,无严重出血等并发症,清扫左喉返神经用时(12.8±3.7)min,胸部操作总时长约(63.8±7.3)min,胸部操作出血(47.0±17.3)ml,清扫左侧喉返神经旁淋巴结(3.1±0.9)枚。术后声音嘶哑1例,5周后恢复;术后肺部感染1例。结论微创McKeown食管癌根治术中采用气管免牵拉优先处理左喉返神经淋巴结的操作技术安全可行,避免了对气管的暴力损伤,值得临床推广。Objective To summarize the experience of clearing the left recurrent laryngeal nerve lymph node as priority without tracheal traction in minimally invasive McKeown esophagectomy.Methods A total of 12 cases of minimally invasive McKeown esophagectomy from Sep 2023 to Sep 2024 were selected and the left recurrent laryngeal nerve(RLN)lymph nodes were removed preferentially without tracheal traction.Results All the operations on chest were successfully completed without serious bleeding or other complications.It took(12.8±3.7)min to clear the left recurrent laryngeal nerve.The time of chest operation is about(63.8±7.3)min,bleeding(47.0±17.3)ml,there were(3.1±0.9)left recurrent laryngeal nerve lymph nodes were removed.Hoarseness occurred in 1 case and recovered after 5 weeks,postoperative pulmonary infection occurred in 1 case.Conclusion Clearing the left recurrent laryngeal nerve lymph nodes as priority treatment is safe and feasible in minimally invasive McKeown esophagectomy.It can avoid the violent injury to the trachea and is worthy of clinical promotion.

关 键 词：食管肿瘤 喉返神经 淋巴结切除术 

分 类 号：R73[医药卫生—肿瘤]