CAJ | 학술논문

目的：探讨使用胸腹腔镜完成 Ivor-Lewis 食管癌根治术的可行性及近期疗效。方法我院2012年7月至2014年4月收治的60例患者行胸腹腔镜联合下 Ivor-Lewis 食管癌根治术，胸腔镜下完成食管－胃胸内吻合。结果中转开胸2例。手术时间215～400 min，术中出血30～500 mL，清扫胸部淋巴结6～18枚，腹部1～14枚。术后：肺炎7例，吻合口瘘3例，均保守治愈。1例术后10个月死于转移。结论采用胸腹腔镜行 Ivor-Lewis 食管癌根治术安全可行，近期疗效满意。
목적：탐토사용흉복강경완성 Ivor-Lewis 식관암근치술적가행성급근기료효。방법아원2012년7월지2014년4월수치적60례환자행흉복강경연합하 Ivor-Lewis 식관암근치술，흉강경하완성식관－위흉내문합。결과중전개흉2례。수술시간215～400 min，술중출혈30～500 mL，청소흉부림파결6～18매，복부1～14매。술후：폐염7례，문합구루3례，균보수치유。1례술후10개월사우전이。결론채용흉복강경행 Ivor-Lewis 식관암근치술안전가행，근기료효만의。
Objective To explore the feasibility and short -term efficacy of combined thoracoscopic and laparoscopic radical Ivor-Lewis esophagectomy for the treatment of esophageal cancer.Methods From July 2012 to April 2014,60 cases with esophageal cancer were treated by combined laparoscopic and thoracoscopic Ivor-Lewis esophagectomy.The intrathoracic esophago-gastric anastomosis was created u-sing a pursestring stapled anastomotic technique.Results Among 60 cases,2 cases were converted to thoracotomy due to dense pleural adhe-sions.The operation time was 215 ~400 min,and the intraoperative blood loss was 30 ~500 mL.The number of harvested lymph nodes from thorax was 6 ~18,and from abdomen was 1 ~14.Postoperative complications included 7 cases of pulmonary infections,3 of anastomotic fistu-las,which were cured by conservative treatment.Followed up for 1 ~12 months postoperatively,one died of metastasis after 10 months,and there was no other matastasis and death.Conclusion Combined thoracoscopic and laparoscopic Ivor-Lewis esophagectomy is a feasible and safe treatment for patients with middle or lower esophageal cancer.The short-term efficacy is satisfactory.