食管癌的微创术

• 机 构: Department of Visceral- and Vascular Surgery, University of Cologne, Cologne, Germany
• 出 处: 中德临床肿瘤学杂志（英文版）
• 发表日期: 2004年4期
• 关键词: esophageal cancer minimal invasive surgery laparoscopy

Thoracoscopic esophagectomy is only established in some centers and affords a cervical anastomosis because intrathoracic anastomosis as a routine is technically too difficult. Laparoscopic mobilisation of the stomach (gastrolysis) is an important contribution for minimal invasive surgery of esophageal cancer.This procedure reduces the stress of the two cavity operation for the patient and allows the construction of a comparable gastric conduit like by open surgery. The technique of laparoscopic gastrolysis as preparation for transthoracic en bloc esophagectomy is described in detail and preliminary results are briefly mentioned.