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目的:总结胸腹腔镜联合食管切除术的临床经验。方法:回顾性分析2013年01月至2017年07月我院采用胸腹腔镜联合食管癌切除术治疗食管癌患者54例的临床资料。结果:2例因胸腔严重粘连,2例因肿瘤明显外侵而中转辅助小切口完成手术,手术时间平均285min(252-328min),其中平均胸部手术时间上限值为120min,下限值为45min,平均值为95min,术中出血上限值为360ml,下限值为155ml,术中出血量平均值为230mL,术后住院平均14d(12-17天);共清扫淋巴结651枚,平均每例清除12.06枚,术后并发症发生率14.8%(8/54):颈部吻合口瘘3例(术后第7天),心律失常2例,声音嘶哑3例。结论:胸腹腔镜联合食管癌切除术在技术上是安全可行的。
Objective: To summarize the clinical experience of thoracic and laparoscopic combined with esophagectomy. Methods: The clinical data of 54 patients with esophageal cancer treated by thoraco-laparoscopic combined with esophageal resection in our hospital from January 2013 to July 2017 were analyzed retrospectively. Results: In 2 cases with severe thoracic adhesions and 2 cases with small external incision due to obvious tumor invasion, the operation time was 285 min (252-328 min). The average duration of chest operation was 120 min and the lower limit was 45 min , The average was 95min, the upper limit of intraoperative bleeding was 360ml, the lower limit of 155ml, the average amount of blood loss was 230mL, hospitalized an average of 14d (12-17 days); a total of 651 lymph node dissection, the average per Cases of 12.06 cases were removed, the incidence of postoperative complications was 14.8% (8/54): 3 cases of anastomotic fistula (7 days after operation), 2 cases of cardiac arrhythmia, 3 cases of hoarseness. Conclusion: Laparoscopic laparoscopic resection of esophageal cancer is technically safe and feasible.