电视胸腔镜辅助下食管疾病的外科治疗

VIDEO-ASSISTED THORACIC SURGERY(VATS) FOR PATIENTS WITH ESOPHAGEAL DISEASES

目的 :探讨电视胸腔镜 (video- assisted thoracic surgery VATS)在治疗食管疾病中的应用及其适应证。方法 :2 0 0 0年 1月 - 2 0 0 2年 1月共为 8例食管疾病患者进行了电视胸腔镜辅助下的外科治疗 ,其中食管早期癌切除、颈部吻合术 4例 ,食管平滑肌瘤摘除术 2例 ,中转开胸 2例。结果 :患者无手术死亡 ,术后并发颈部吻合瘘 1例 ,经保守治疗治愈 ;食管癌平均住院日期 12天 ,术后随访无复发和转移。食管平滑肌瘤平均住院日期为 7天。结论 :早期食管癌和食管良性疾病是 VATS的适应证 ,VATS具有对心肺功能影响少、恢复快、并发症少的优点。

Objective:To evalute the feasibility of video assisted thoracic surgery (VATS) for patients with esophageal diseases.Methods:From Jan.2000 to Jan. 2002,eight patients with esophageal diseases underwent VATS procedures,two of them were converted to open thoracotomy.Results:There were no operative death in this group.Conclusion:VATS is a alternative to open thoracotomy in early esophageal cancer and benign diseases.Clear advantages over open thoracotomy were demonstrated.