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世界癌症2019:3 d胸腔镜微创第三阶段延长2场食管切除术(米氏)在左侧卧位食管癌癌(LD)的位置——一个很好的替代方法机器人esophagectomy-Aditya Mantri-Gujarat癌症研究所

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简介:微创食管切除术已经建立了作为癌患者的标准治疗食道、手术候选人。过去十年已经看到越来越多的此类程序使用通过传统的2 d腹腔镜方法或通过机械的方法。2 d腹腔镜检查是在倾向或semi-prone大多数外科医生的地位。中心在印度很少利用左侧卧位姿势做胸腔镜食管的动员和纵隔淋巴结解剖。在本文中,我们想要展示我们的经验55岁患者的癌食管由3 d个腹腔镜方法使用左侧卧位姿势食道动员和一个完整的纵隔淋巴结解剖的Mckweon食管切除术的三个阶段。这里我们希望突出的优秀成果左侧卧位位置和3 d laproscopy优秀的3 d视觉而言,易于清理所需的所有淋巴结站充分根据日本食管癌分期分类,减少术中并发症,减少失血和方便拥有相同的取向是一个开放的开胸食管动员的方法。方法:从2017年6月至2018年8月,51例食管癌的微创操作三个阶段延长2场食管切除术(米氏)使用3 d thoracosopy横向卧位(LD)在我们部门的地位。纵隔淋巴结是收获和发送单独按日本的纵隔淋巴结分类站进行组织病理学检查。我们做了回顾性分析前瞻性维护数据。结果:共有51例接受3 d胸腔镜LD米氏。34名患者接受了新辅助放化疗在17日提前操作。 All patients had complete RO resection. Median 22 mediastinal lymph nodes were harvested (range: 3-65). Median operative time for thoracoscopic mobilization and extended 2F lymphadenectomy was 130 minutes. Median blood loss was 200 ml. Anastomotic leak was present in 6(11.76%) cases of which 4 were treated conservatively. Pulmonary complications were seen in 3(5.88%) cases and managed conservatively. 6(11.7%) patients had partial recurrent laryngeal nerve paralysis and 2(3.92%) cases had permanent recurrent laryngeal nerve injury. In hospital mortality was in 2(3.92%) cases. Median hospital stay was 11 days. There was no chyle leak, no conversion to open procedure Conclusions: 3D thoracoscopic LD MIE gives excellent high resolution image quality, depth perception which can be advantageous for good mediastinal lymph node clearance with minimum blood loss, decreased operative time, minimum pulmonary complication and faster recovery.

Aditya Mantri

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