摘要
背景与目的:全腔镜下食管癌根治术手术创伤小,但手术难度大,本文旨在探讨一项新技术:利用OrVil经口输送钉砧系统行胸腹腔镜Ivor Lewis食管癌根治术的可行性及近期疗效。方法:2009年8月13日对1例中段食管癌患者行胸腹腔镜联合Ivor Lewis食管癌根治术,术中经口输送钉砧(OrVilTM;Covidien,Mansfield,MA,USA)到食管残端,以环行吻合器(EEAXL25Covidien,Mansfield,MA,USA)行胸顶胃食管吻合。结果:手术历时280min,术中出血200mL,未输血,未行胸腹部辅助切口,围术期无手术相关并发症,无吻合口瘘,患者于术后12d出院。随访3个月,无复发。结论:利用OrVil经口输送钉砧系统行胸腹腔镜Ivor Lewis食管癌根治术可行,近期疗效满意。
Background and purpose: Combined usage of the laparoscopic and thoracoscopic lvor Lewis esophagectomy is a mini-invasive procedure with high demands of skill level. In this study, we explored a novel technique for esophagastric anastomosis with minimally invasive Ivor Lewis esophagogastrectomy. Methods: We performed a minimally invasive Ivor Lewis esophagogastrectomy on a patient with midthoracic esophageal cancer on August 13^th, 2009. The anvil (OrVilTM; Covidien, Mansfield, MA, USA) was placed thrasorally and positioned at the esophageal stump. The esophagastric anastomosis was performed intracorporeally with a circular stapler (EEAXL25 Covidien, Mansfield, MA, USA). Results: The operation time lasted for 280 minutes with a blood loss of 200 mL without transfusing blood. We performed the procedure entirely through laparoscopy and thoracoscopy. There were no complications post-operation, and no anastomic leak. The patient's hospital stay lasted a total of 12 days. Follow up was conducted for 3 months and no recurrence was found. Quality of life was satisfying. Conclusion: Laparoscopic and tboracoscopic lvor Lewis esophagectomy with thrasorally placed anvil for the treatment of esophageal carcinoma ensures the feasibility and safety of esophagectomy.
出处
《中国癌症杂志》
CAS
CSCD
北大核心
2010年第6期471-473,共3页
China Oncology
基金
上海市科委医学引导项目(No:08411961700)
关键词
胸腔镜
腹腔镜
食管切除术
食管癌
thoracoscopy
laparoscopy
esophagectomy
esophageal carcinoma