Abstract：[Abstract] Objective: To explore the shortterm effects of thoracoscopic and laparoscopic minimally invasive surgery to treat esophageal cancer. Methods： Based on radical surgery of esophageal cancer on patients in our hospital. They were divided into conventional thoracotomy group(n=30) and thoracoscopic combined with laparoscopic esophageal resection group(n=23). To observe the efficacy and complications of both of the methods. Results：Thoracoscopic and laparoscopic resection of esophageal carcinoma took longer operation time, but intraoperative blood loss, postoperative pain, hospitalization time and postoperative respiratory complications were all reduced to compare with the conventional surgery. Both the number of lymph node dissection and postoperative ICU monitoring time had no significant difference.Conclusion： Thoracoscopic and laparoscopic resection of esophageal carcinoma was technically feasible and safe. It had advantages of less trauma, faster recovering and less perioperative complications. It is worthy of clinical promotion.
收稿日期: 2012-08-31
作者简介: 蒋国军(1968—)，男，江苏宜兴人，副主任医师，主要从事食管癌的诊断与治疗。
引用本文:
蒋国军，周健，龚泽刚， 谈志刚，谈永飞. 胸、腹腔镜联合食管癌根治性切除术近期疗效分析[J]. 江苏大学学报:医学版, 2012, 22(6): 514-517.
JIANG Guo-jun, ZHOU Jian, GONG Ze-gang, TAN Zhi-gang, TAN Yong-fei.
Shortterm effects of the thoracoscopic and laparoscopic minimally invasive surgery to treat esophageal cancer. Journal of Jiangsu University(Medicine Edition), 2012, 22(6): 514-517.
[1] 叶中瑞，朱成楚，叶加洪,等.电视胸腔镜食管癌切除术[J]. 中国微创外科杂志，2005,5(8):609-610.[2] Kim JE, Kim SJ, Jeong HW, et al. RGD peptides released from beta ig-h3,a TGF-beta-induced cell-adhesive molecule, mediate apoptosis[J].Oncogene,2003, 22(13):2045-2053.[3] Luketich JD，Schauer PR，Christie NA，et al．Minimally invasive esophagectomy[J]. Ann Thorac Surg,2000,70(3):906-912．[4] 武新慧，张玉想，胡振杰，等. 食管癌术后严重并发症临床分析及对策[J]. 河北医科大学学报，2008,29 (5):668-671.[5] Avendano CE,Flume PA,Silvestri GA,et al. Pulmonary complications after esophagectomy\[J\]. Ann Thorac Surg,2002,73(3):922-926.[6] Makamura M, Iwahashi M, Nakamori M,et al.An analysis of the factors contributing to a reduction in the incidence of pulmonary complications following an esophagectomy for esophageal cancer[J].Langenbecks Arch Surg,2008,393(2):127-133.[7] D′journo XB, Michelet P, Avaro JP, et al.Respiratory complications after oesophagectomy for cancer[J].Rev Mal Respir, 2008,25(6):683-694.[8] Nguyen NT,Follette DM,Wolfe BM,et al.Comparison of minimally invasive esophagectomy with transthoracic and transhiatal esophagectomy[J]. Arch Surg，2000,135(8)：920-925.[9] 宁玉林,郭金成，赵国强．胸腔镜下食管癌手术对术后早期肺功能影响的临床研究[J]．中国内镜杂志，2007，13(3)：302-304.
2012, Vol. 22 
