全腔镜同期微创手术治疗食管、肺双原发癌

The treatment of esophageal cancer combined with primary lung cancer by complete endoscopic technique over the same period

目的食管癌患者同时合并原发性肺癌极少见,治疗棘手,同期手术治疗的疗效较好,但创伤大;探讨全腔镜同期微创手术治疗食管、肺双原发癌,评估该方法的可行性及近期疗效。方法对1例中段食管癌合并右上肺癌患者行胸腹腔镜联合微创Mc Keown手术和右肺上叶切除术(此术式在国内外文献中暂时未见报道,附查新报告);同时回顾解放军总医院近5年来食管、肺双原发癌同期行常规开放手术的病例,并与微创手术病例进行比较。结果中段食管癌合并右上肺癌患者手术时间510 min,术中出血约300 ml,未输血,未行胸腹部辅助切口,术后恢复顺利,痊愈出院,随访6个月,无复发,进食正常,生命质量良好。结论全腔镜同期微创手术治疗食管、肺双原发癌方法可行,近期疗效满意。

Objective Esophageal cancer combined with primary lung cancer is extremely rare and difficult to treat. Simultaneous resection is a good choice for these patients but the trauma is so huge. This paper explores the simultaneous resection of the esophageal cancer combined with lung cancer by the complete endoscopic technique to evaluate the feasibility and short-term efficacy. Methods One case of esophageal carcinoma combined with right lung cancer was underwent minimally invasive Mc Keown surgery and the right pulmonary lobectomy by the thoracoscope and laparoscope; There are not reports of the surgical procedures in literatures at home and abrood（ Indosing Novelty Search Report） Review 5 cases： the esophageal / cardiac cancer and lung cancer were resected by open surgery in the same period in the five years. Results Operation lasted 510 min,bleeding about 300 ml,no blood transfusion,without auxiliary incision in chest and abdomen,postoperative recovery smoothly,cured; followed up for 6 months,no recurrence,normal eating,living quality good. Conclusions The endoscopic minimally invasive operation is feasible in treatment of esophageal cancer combined with lung cancer.