中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2013年
10期
837-838
,共2页
侯予龙%郭伟%杨志健%赵建强
侯予龍%郭偉%楊誌健%趙建彊
후여룡%곽위%양지건%조건강
食管肿瘤%体位
食管腫瘤%體位
식관종류%체위
Esophageal neoplasms%Posture
回顾分析2010年2月至2012年11月我院行侧俯卧位下胸腔镜食管切除术治疗的33例食管癌患者临床资料.患者均为T3N1M0以下分期,手术采用胸腔镜游离胸段食管并清扫纵隔淋巴结,开腹游离胃行食管胃颈部吻合.结果提示,临床分期在T3N1M0以下食管癌患者采取侧俯卧位时能够更好地显露食管和周围组织,利于食管切除和淋巴结的清扫,在中转开胸时能够更迅速简便地改变体位.
迴顧分析2010年2月至2012年11月我院行側俯臥位下胸腔鏡食管切除術治療的33例食管癌患者臨床資料.患者均為T3N1M0以下分期,手術採用胸腔鏡遊離胸段食管併清掃縱隔淋巴結,開腹遊離胃行食管胃頸部吻閤.結果提示,臨床分期在T3N1M0以下食管癌患者採取側俯臥位時能夠更好地顯露食管和週圍組織,利于食管切除和淋巴結的清掃,在中轉開胸時能夠更迅速簡便地改變體位.
회고분석2010년2월지2012년11월아원행측부와위하흉강경식관절제술치료적33례식관암환자림상자료.환자균위T3N1M0이하분기,수술채용흉강경유리흉단식관병청소종격림파결,개복유리위행식관위경부문합.결과제시,림상분기재T3N1M0이하식관암환자채취측부와위시능구경호지현로식관화주위조직,리우식관절제화림파결적청소,재중전개흉시능구경신속간편지개변체위.
Thirty-three patients with esophageal carcinoma (T3N1M0 or less) underwent thoracoscopic surgery in lateral prone position for esophagectomy from February 2010 to November 2012.Their postoperative outcomes and survivals were retrospectively analyzed.The results confirmed the feasibility and safety of this mini-invasive thoracoscopic procedure in lateral prone position for patients with esophageal carcinoma.A possible advantage of lateral prone technique is that in case of an emergency switch to open surgery,precious time may be saved in changing body position.