CAJ | 학술논문

腹腔镜保留迷走神经的食管切除胃代食管术治疗早期食管癌具有微创、功能保全和术后生命质量好的优势,同时能达到常规根治性手术的肿瘤学效果.2009年9月至2013年8月第三军医大学大坪医院和第四军医大学西京消化病医院对12例早期食管黏膜内鳞癌患者施行保留迷走神经的食管切除胃代食管术.术后随访1 ～ 24个月,其中发生一过性声音嘶哑和颈部吻合口瘘各1例,经保守治疗治愈；术后2个月吻合口狭窄1例,经扩张治疗3次后治愈；其余患者均能正常经口进食,无胸闷、腹胀、腹泻、吞咽困难等症状,无肿瘤复发、转移征象.因此,腹腔镜保留迷走神经食管切除胃代食管术是治疗早期食管黏膜内癌和食管良性疾病的较好选择.
복강경보류미주신경적식관절제위대식관술치료조기식관암구유미창、공능보전화술후생명질량호적우세,동시능체도상규근치성수술적종류학효과.2009년9월지2013년8월제삼군의대학대평의원화제사군의대학서경소화병의원대12례조기식관점막내린암환자시행보류미주신경적식관절제위대식관술.술후수방1 ～ 24개월,기중발생일과성성음시아화경부문합구루각1례,경보수치료치유；술후2개월문합구협착1례,경확장치료3차후치유；기여환자균능정상경구진식,무흉민、복창、복사、탄인곤난등증상,무종류복발、전이정상.인차,복강경보류미주신경식관절제위대식관술시치료조기식관점막내암화식관량성질병적교호선택.
Laparoscopic vagal-sparing esophagogastrectomy for the treatment of early esophageal cancer has the advantages of minimal invasion,functional sparing and better quality of life,and it can radically resect the tumor.The clinical data of 3 patients in the Daping Hospital of Third Military Medical University and 9 patients in the Xijing Hospital of Digestive Diseases who received laparoscopic vagal-sparing esophagogastrectomy from September 2009 to August 2013 were retrospectively analyzed.All the 12 patients were followed up for 1-24 months.One patient was complicated with transit hoarseness and 1 with cervical anastomotic fistular,and they were cured by conservative treatment; 1 patient was complicated with cervical anastomotic stricture,and was cured by dilatation for 3 times; no dysphagia and recurrence was observed in the other 9 patients during the follow-up.Laparoscopic vagal-sparing esophagogastrectomy is a good option for early esophageal cancer and benign esophageal diseases.