侧俯卧位下胸腔镜食管切除术治疗食管癌的临床应用

Clinical application of thoracoscopic surgery for esophageal neoplasms in lateral prone position

回顾分析2010年2月至2012年11月我院行侧俯卧位下胸腔镜食管切除术治疗的33例食管癌患者临床资料.患者均为T3N1M0以下分期,手术采用胸腔镜游离胸段食管并清扫纵隔淋巴结,开腹游离胃行食管胃颈部吻合.结果提示,临床分期在T3N1M0以下食管癌患者采取侧俯卧位时能够更好地显露食管和周围组织,利于食管切除和淋巴结的清扫,在中转开胸时能够更迅速简便地改变体位.

Thirty-three patients with esophageal carcinoma （T3N^M0 or less ） underwent thoracoseopic surgery in lateral prone position for esophagectomy from February 2010 to November 2012. Their postoperative outcomes and survivals were retrospectively analyzed. The results confirmed the feasibility and safety of this mini-invasive thoracoscopic procedure in lateral prone position for patients with esophageal carcinoma. A possible advantage of lateral prone technique is that in case of an emergency switch to open surgery, precious time may be saved in changing body position.