胸腹腔镜联合食管癌根治术的手术配合

目的探讨胸腹腔镜联合食管癌根治术的手术配合。方法回顾性分析2013年8月至2016年10月150例行胸腹腔镜联合食管癌根治术的临床及护理资料。结果150例患者手术均顺利完成，无围术期死亡，其中1例患者因病灶与气管粘连紧密无法在腔镜下完成食管游离，开胸后仍无法完成游离，仅行姑息性切除，3例患者因误断胃网膜右血管中转开腹，其余手术顺利完成。手术时间2-6h，平均4h。结论熟知手术步骤，掌握手术中的要点，密切配合才能保证手术顺利完成，时间缩短，手术并发症降低，效果提高。

Objective To investigate the operative coordination of radical resction of esophageal carcinoma under combination of thoracoscopy and laparoseopy e. Methods The clinical and nursing data of 150 cases undergoing radical resction of esophageal carcinoma under combination of thoracoscopy and laparoscopy from August 2013 to October 2016 were analyzed retrospectively. Results All the operations of 150 cases were performed successfully and no perioperative mortality. One of the patients with the lesion adhered to the trachea closely could not be operated under the endoscope or the thoracotomy, Instead, the palliative resection had been operated. 3 patients had to be conversion to open surgery because of the division of the right gastroepiploic artery by mistake. The time of operation was 2 to 6hours, with an average of 4 hours. Conclusions It is important to he familiar with the operation procedure, master the key points of the operation and cooperate properly to ensure the successful operation, shorten the operative time, reduce the operative complications and improve the effect.