论文部分内容阅读
目的探讨手辅助电视胸腔镜(HVATS)行胸段食管胸中、上段癌切除术的方法、可行性及优缺点。方法HVATS方法施行食管癌切除胃食管颈部吻合术12例,观察、总结其术中、术后的效果及并发症情况。结果手辅助电视胸腔镜(HVATS)食管癌切除能够达到常规手术切除效果,手术创伤小、恢复快,无围术期死亡。结论在中、上段食管癌外侵不明显,与血管粘连不严重的情况下,采用HVATS手术进行根治性治疗是可行的。
Objective To explore the methods, feasibility, advantages and disadvantages of hand-assisted video-assisted thoracoscopic (HVATS) in the thoracic esophageal upper and upper cancer resections. Methods HVATS was performed in 12 cases of esophagectomy for gastroesophageal neck anastomosis. The intraoperative and postoperative effects and complications were observed and summarized. Results Hand-assisted video-assisted thoracoscopic (HVATS) resection of esophageal cancer can achieve the effect of conventional surgical resection, small trauma, rapid recovery, no perioperative death. Conclusions In the middle and upper esophageal cancer invasion is not obvious, and vascular adhesions are not serious cases, the use of HVATS surgery for radical treatment is feasible.