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本文探讨了食管癌术前胸腔镜及腹腔镜分期的可行性、并发症和死亡率。对分期的准确性和食管癌切除后病理分期进行了比较。 作者连续对45例可能切除的肿瘤进行了胸腔镜检查淋巴结分期,成功42例,因胸腔严重粘连失败3例。无死亡病例,术后出现肺炎1例,没有出血及延长胸管引流病例。淋巴结分期N0期39例,N1期3例。腹腔镜检查淋巴结分期19例。腹腔淋巴结N0期13例,N1期6例。 胸腔镜和/或腹腔镜分期后食管切除30例,均做了胸腔镜分期,其中17例做了腹腔镜分期。 胸腔镜分期30例,N0期28例,N1期2例。N0期
This article explores the feasibility, complications, and mortality of preoperative thoracoscopic and laparoscopic staging of esophageal cancer. The accuracy of the staging and the pathological staging after esophageal resection were compared. The author continuously performed thoracoscopic lymph node staging on 45 potentially resected tumors, and successfully succeeded in 42 cases because of three cases of severe thoracic adhesion failure. No deaths occurred. One postoperative pneumonia occurred. No bleeding and prolonged chest tube drainage. There were 39 N0 stage lymph node stages and 3 N1 stage lymph nodes. Laparoscopic examination of lymph node staging in 19 cases. Celiac lymph nodes showed N0 stage 13 cases and N1 stage 6 cases. After thoracoscopic and/or laparoscopic staging of esophagectomy in 30 cases, thoracoscopic staging was performed, of which 17 cases had laparoscopic staging. Thoracoscopic staging was performed in 30 patients, N0 in 28 patients, and N1 in 2 patients. N0 period