The application of thoracoscopy and laparoscopy combined with Mckeown in esophageal cancer operation

YANG Da-bin; WU Kai; REN Qiang

Journal of Bengbu Medical University > 2013 > 37(9): 1086-1088.

YANG Da-bin, WU Kai, REN Qiang. The application of thoracoscopy and laparoscopy combined with Mckeown in esophageal cancer operation[J]. Journal of Bengbu Medical University, 2013, 37(9): 1086-1088.

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The application of thoracoscopy and laparoscopy combined with Mckeown in esophageal cancer operation

Department of Cardiothoracic Surgery;Huaibei Miner's General Hospital;Huaibei Anhui 235000;China

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Received Date: May 06, 2013

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ObjectiveTo explore the feasibility of thoracoscopy and laparoscopy combined with Mckeown in esophageal cancer operation. Methods: Eight cases with esophageal cancer( including superior segment in 1 case，middle segment in 5 cases and inferior segment in 2 cases) were treated with thoracoscopy and laparoscopy combined with Mckeown.Mediastinal lymph nodes of all cases were dissected in thoracic segment of the esophagus using thoracoscopy in prone position of left half.Gastroesophageal anastomosis in left neck of all cases were implemented using laparoscopy in supine postion Results: All operations were successful，no conversion to open surgery and death during perioperative period were found.The operation time，blood loss，number of dissected lymph nodes and postoperative hospital stay were 240 to 400 minutes， 120 to 420 ml，4 to 22 and 14 to 19 days， respectively.One case with respiratory failure was found，who cured after the breathing machine auxiliary treatment.One case with hoarseness was found.All patients were followed up for 2 to 11 months and survival. Conclusions: The thoracoscopy and laparoscopy combined with Mckeown for treating esophageal cancer is safe and feasible，which is worthy of being widely applied in clinic.
- esophageal neoplasms,
- thoracoscopy,
- laparoscopy,
- minimal invasion

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[1]	王群，蒋伟. 腔镜食管癌根治术在食管癌治疗中的应用[J].中华胃肠外科杂志，2011，14( 9) : 683 － 685.
[1]	[2] Luketich JD，Mechcm M，Ngugen NT，et al. Minimally invasive surgical.Staging for esophageal cancer[J]. Surg Endosc， 2000，14( 6) : 700 － 702.
[2]	[3] Song SY，Na KJ，Oh SG，et al. Learning curves of minimally invasive esophageal cancer surgery[J]. Eur J Cardiothorac Surg，2009，35( 4) : 689 － 693.
[3]	[4] Palanivelu C，Prakash A，Senthikumar r， et al. Minimally invasive esophagectomy: thoracoscopic mobilization of the esophagus and mediastinal. Lymphadentectory in prone position: experience of 130 patients[J]. J Am Coll Sury，2006，203( 11) : 7 － 16.
[4]	[5] 谭黎杰，王群，冯明详，等. 电视胸腔镜食管癌切除术在食管癌外科治疗中的应用[J]. 中华胃肠外科杂志，2008， 11( 1) :24 － 27.
[5]	[6] Decker G，Coosemans W，Deleyn P，et al. Minimally invasive esophagectomy for cancer[J]. Eur J Cardiothoracic Surg，2009，35( 8) : 13 － 21.
[6]	[7] Hulscher JB Vansandiclc JW，Devriese PP，et al. Vocal cord paralysis after subtotal ocsophagectony[J]. Br J Surg，1999，86( 12) : 1583 － 1587.
[7]	[8] 李林，柳硕岩，朱坤，等. 早期食管癌淋巴结转移规律与预后分析[J]，中华肿瘤杂志，2009，31( 14) : 226 － 229.
[8]	[9] 朱成楚，陈仕林，叶敏华，等. 电视胸腔镜下行食管癌切除术中广泛纵隔淋巴结清扫的可行性与安全性[J]. 中华肿瘤杂志，2011， 11( 34) : 855 － 859.
[9]	[10] Gao Y，Wang Y，Chen L， et al. Comparison of open three-field and minimally invasive esophagectomy for esophageal cancer[J].Interact Cardiovasc Thorac Surg，2011，12( 3) : 366 － 369.
[10]	[11] 陈保富，朱成楚，马德华，等. 胸腹腔镜联合手术治疗食管癌81 例[J]. 中华胸心血管外科杂志， 2011， 27( 4) : 218 － 220.
[11]	[12] 张仁泉，葛威，康宁宁，等. 食管外科治疗中联合腔镜的应用[J]. 中华胸心血管外科杂志，2012， 28( 5) : 268 － 270.

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