【作者】 吴彬；

【导师】 徐志飞；

【作者基本信息】 第二军医大学 ， 胸心外科， 2007， 博士

【摘要】 选取2004年3月至2006年12月期间入院治疗的食管癌患者38例为研究对象。行腋下小切口辅助电视胸腔镜食管癌切除联合电视腹腔镜游离胃并区域淋巴结切除20例,行纵隔镜食管癌切除并区域淋巴结切除18例,其中纵隔镜食管癌切除并电视腹腔镜游离胃重建消化道8例,纵隔镜食管癌切除并开腹游离胃重建消化道10例。结果显示,电视胸腔镜、纵隔镜联合腹腔镜食管癌切除安全可行,手术创伤小、出血较少,术后疼痛轻,术后肺部并发症少。胸腔镜、纵隔镜联合腹腔镜行胸、腹部淋巴结切除能够达到传统开放手术淋巴结切除效果。更多还原

【Abstract】 38 patients of esophageal carcinoma were chosen as object from March 2004 to December 2006. 20 patients underwent esophagectomy and local lymph nodes resection via minimally invasive thoracotomy associated with VATS , all of them underwent stomach mobilization with laproscope. 18 patients underwent esophagectomy and local lymph nodes resection with mediastinoscope , 8 of them underwent stomach mobilization with laproscope and 10 of them with traditional open method. The results showed that the methods of esophagectomy via VATS or mediastinoscope associated with laparoscope were safe and feasible, which reduced surgical trauma, bleeding, incisional pain and decreased postoperative lung complications. Also minimally invasive esophagectomy with endoscope has the same effect in thoracic and abdominal lymph nodes resection as traditional open surgery.更多还原