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目的探讨联合经脐单孔腹腔镜技术和单操作孔胸腔镜技术在食管胃结合部腺癌(AEG)治疗中的应用。方法 2010年3月至2011年6月间中国医科大学附属盛京医院共进行了3例AEG的微创治疗。用经脐单孔腹腔镜技术游离胃,再用单操作孔胸腔镜技术游离食管,通过使用OrVil系统完成食管和胃部的吻合。结果术后病人疼痛轻微,术后第1天均离床活动,术后4d拔除引流管,术后7d进食,病人均痊愈出院。结论微创技术有创伤小、疼痛轻、恢复快的特点,经脐单孔腹腔镜技术和单操作孔胸腔镜技术在AEG治疗中将会是一种更加微创的治疗方法。
Objective To investigate the application of combined trans-umbilical single hole laparoscopy and single-hole thoracoscope in the treatment of esophagogastric junction adenocarcinoma (AEG). Methods From March 2010 to June 2011, 3 cases of AEG minimally invasive treatment were performed in Shengjing Hospital Affiliated to China Medical University. Esophageal and gastric anastomosis was achieved by using the Orvil system to free the stomach with single-hole transthoracic laminectomy and then using a single-hole thoracoscopic technique to free the esophagus. Results The postoperative patients had mild pain. All patients were out of bed on the first day after operation. The drainage tube was removed 4 days after operation and 7 days after operation. The patients were cured and discharged. Conclusion The minimally invasive technique is characterized by less trauma, less pain and faster recovery. Umbilical single hole laparoscopy and single-hole thoracoscope will be a more minimally invasive treatment for AEG.