摘要
Objective: To try to use Non Thoracotomy Esophagec tomy (NTE) for patient with carcinoma of esophagus and cardia avoiding thoracotomy, and by utilizing a cervical esophagogastric anastomosis in order to reduce peri operative morbidity and mortality. Methods: 18 patients were treated with NTE between 1989 to 1998. Of them, 5 adenocarcinoma of the cardia and 13 squamous cell carcinoma of the esophagus (2 upper thoracic, and 11 distal third). Everting stripping were performed in all patients. Esophagus were extracted either upwards (n=2) or downwards (n=16). The esophageal substitute was a resulting gastric tube (n=5) or the stomach (n=13) and was positioned in the posterior mediastinum. Results: The mean age of the patients was 64 years (ranged 40 to 72). The male:female ratio was 10:8. The mean intra operative blood loss was 400 ml. There was no hospital deaths. Only one patient had a cervical esophagogastric anastomotic leakage. Conclusion: NTE is to be recom mended because of its operative ease, safety and rare operative complications. CT scanning of the thorax and bronchoscopy is necessary before using the technique of NTE.
Objective: To try to use Non Thoracotomy Esophagec tomy (NTE) for patient with carcinoma of esophagus and cardia avoiding thoracotomy, and by utilizing a cervical esophagogastric anastomosis in order to reduce peri operative morbidity and mortality. Methods: 18 patients were treated with NTE between 1989 to 1998. Of them, 5 adenocarcinoma of the cardia and 13 squamous cell carcinoma of the esophagus (2 upper thoracic, and 11 distal third). Everting stripping were performed in all patients. Esophagus were extracted either upwards (n=2) or downwards (n=16). The esophageal substitute was a resulting gastric tube (n=5) or the stomach (n=13) and was positioned in the posterior mediastinum. Results: The mean age of the patients was 64 years (ranged 40 to 72). The male:female ratio was 10:8. The mean intra operative blood loss was 400 ml. There was no hospital deaths. Only one patient had a cervical esophagogastric anastomotic leakage. Conclusion: NTE is to be recom mended because of its operative ease, safety and rare operative complications. CT scanning of the thorax and bronchoscopy is necessary before using the technique of NTE.
