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目的探讨电视胸腔镜联合腹腔镜治疗食管癌手术的可行性和近期疗效。方法全麻双腔气管插管,胸腔镜经4～6个Trocar游离胸段食管并清扫区域内淋巴结。留置胸管引流。腹腔镜经5个Trocar游离胃。并作剑突下小切口将胃制成管状经食管床移至颈部吻合。留置鼻胃管及鼻空肠管。结果手术时间(300.6±36.5)min。术中出血(200.9±130.5)ml。所有病例术后病理皆为鳞癌,其中T1N0M09例,T2N0M02例,T1N1M02例,T2N1M02例。近期随访无复发。结论胸腔镜联合腹腔镜手术治疗食管癌可行,近期疗效满意。
Objective To investigate the feasibility and short-term efficacy of video-assisted thoracoscopy combined with laparoscopy in the treatment of esophageal cancer. Methods General anesthesia double lumen tracheal intubation, thoracoscopy through 4 to 6 Trocar free thoracic esophagus and clean regional lymph nodes. Indwelling chest tube drainage. Laparoscopy 5 Trocar free stomach. And make a small incision next to the xiphoid stomach made of tubular esophageal bed moved to the neck anastomosis. Indwelling nasogastric tube and nasal jejunal tube. Results The operation time (300.6 ± 36.5) min. Intraoperative bleeding (200.9 ± 130.5) ml. All cases were squamous cell carcinoma after surgery, including T1N0M09 cases, T2N0M02 cases, T1N1M02 cases, T2N1M02 cases. No recurrence of recent follow-up. Conclusions Thoracoscopy combined with laparoscopic surgery for esophageal cancer is feasible and satisfactory in the short term.