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胸段食管癌的微创手术治疗(附145例报告) 被引量:14

Surgery method choice for resection of carcinoma of theesophagus by Video-Assisted thoracic surgery
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摘要 目的探讨手辅助电视胸腔镜(HVATS)行胸段食管癌切除术的可行性及优缺点。方法施行HVATS食管癌切除胃食管颈部吻合术124例、食管癌切除胃食管右胸内吻合术21例。结果两组患者均能够达到常规手术切除效果,手术创伤小、恢复快,无围术期死亡。结论在HVATS下采用胃食管颈部吻合术或右胸内吻合术能够实现对胸段食管任何位置的肿瘤进行根治性手术治疗。 Objective:To explore the feasibility and advantage of hand-video-assisted surgery (HVATS) for esophageal cancer. Methods: 145 cases underwent resection of carcinoma of the esophagus and gastroesophagostomy by Hando-Video-Assisted thoracoic surgery, 124 cases received cervical anastomosis, 21 cases received right upper mediastinum anastomosis. The stage of most of the two groups was T03N1M0. Results : The patient of two groups can obtain the same resection outcome as the routine open thracotomy, with less trauma and better resume. There were no operative mortality in two group. Conclusion: Combining cervical anastomosis or right upper mediastinum anastomosis of Video-Assisted thoracic esophagectomy with gastroesophagostomy can realize the Video-Assisted thoracic resection of carcinoma of the esophagus in any site and can finish the anastomosis of gastroesophagostomy in any level.
机构地区 山东省立医院
出处 《山东医药》 CAS 北大核心 2005年第27期9-10,共2页 Shandong Medical Journal
基金 山东省卫生科技发展计划资助项目[2003HZ112]
关键词 电视胸腔镜 食管切除术 食管肿瘤 video-assisted thoracoscopy esophagectomy esophageal neoplasams
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