CAJ | 학술논문

目的：探讨食管内翻路径微创手术治疗伴重度呼吸功能障碍胸段食管癌的可行性。方法2013年1月至2014年10月，我科采用腹腔镜联合纵隔镜食管内翻路径微创手术治疗19例胸段食管癌，分析手术指标及术后恢复情况。结果所有患者顺利完成手术，无围术期死亡病例，手术时间为（149?5±30?3）min，术中出血为（100?0±52?7）ml，清扫淋巴结数为（13?5±2?5）枚，住院时间为（9?8±3?5）天。结论腹腔镜联合纵隔镜内翻路径微创手术治疗伴重度呼吸功能障碍胸段食管癌安全、可行。
목적：탐토식관내번로경미창수술치료반중도호흡공능장애흉단식관암적가행성。방법2013년1월지2014년10월，아과채용복강경연합종격경식관내번로경미창수술치료19례흉단식관암，분석수술지표급술후회복정황。결과소유환자순리완성수술，무위술기사망병례，수술시간위（149?5±30?3）min，술중출혈위（100?0±52?7）ml，청소림파결수위（13?5±2?5）매，주원시간위（9?8±3?5）천。결론복강경연합종격경내번로경미창수술치료반중도호흡공능장애흉단식관암안전、가행。
Objective To explore the feasibility of minimally invasive surgical treatment via introversive path with the combi?nation of laparoscope and mediastinoscope for thoracic segment of esophageal cancer with severe respiratory dysfunction. Methods In this study, 19 cases with esophageal cancer received the transhiatal thoracic segment with the combination of laparoscope and mediasti?noscope from January 2013 to October 2014 in our hospital. The operation indices and postoperative recovery were analyzed. Results All operations were successful without perioperation mortality. The mean operative time was(149?5±30?3) min. The mean blood loss was(100?0±52?7) ml. The mean number of removed lymph nodes was 13?5±2?5. The mean hospitalization was(9?8±3?5) days. Conclusion Introversive path is technically feasible and safe for the treatment of thoracic segment of esophageal cancer with severe re?spiratory dysfunction by combination of laparoscope and mediastinoscope.