胸腔镜_____食管肿瘤；胸腔镜检查；腹腔镜检查

电视胸腔镜腹腔镜联合下食管癌手术的体会

http://www.100md.com 《腹腔镜外科杂志》 2005年第6期

胸腔镜,,食管肿瘤；胸腔镜检查；腹腔镜检查,1资料与方法,2结果,3讨论

     【摘要】目的：探讨电视胸腔镜腹腔镜联合下食管癌手术的可行性。方法：术前准备同常规开胸手术。分3步操作，第1步：胸腔内食管游离和淋巴结清扫；第2步：腹腔镜下胃游离及淋巴结清扫；第3步：颈部食管游离及食管胃吻合。结果：本组3例无中转开胸者。手术时间5～7h，术中出血200～400ml，术后均顺利恢复，无明显并发症发生。结论：此手术安全可行，可逐步推广。

    【关键词】食管肿瘤；胸腔镜检查；腹腔镜检查

    Laparoscope and videoassisted thoracoscopic surgery in esophageal carcinoma

    DAI Yawei,HU Haozhong,SONG Zhihua，et al.

    Department of Surgery,Haiyan People's Hospital,Haiyan 314300,China

    【Abstract】Objective:To study the feasibility of using laparoseope and videoassisted thoracoscopic surgery (VATS )in radical correction of esophageal carcinoma.Methods:The preparation same as conventional tnoraeotomy.Operation included three stages.First stage:the dissociation of chest section of esophagus and lymph node scavenging under thoracoscope.Second stage:gastral dissociation and lymph node scavenging under laparoscope.Third stage:the dissociation of fcervical section of esophagus and inosculation of esophagus and stomachus.Results: Three cases was operated under VATS and laparoscope.There was no thoracotomy case .Operating time was in 57 hours,average amount of bleeding was in 200400ml, all cases postoperative recovery were successfull.There was no complicatoin in all cases.Conclusions: This operation is safe and should be applied generally step by step. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/03/23/95/56/54.htm

您现在查看是摘要页，全文长 6560 字符。