Hand-assisted endoscopic esophagectomy for esophageal cancer

被引：54

作者：

Okushiba, S ^{[1
]}

Ohno, K ^{[1
]}

Itoh, K ^{[1
]}

Ohkashiwa, H ^{[1
]}

Omi, M ^{[1
]}

Satou, K ^{[1
]}

Kawarada, Y ^{[1
]}

Morikawa, T ^{[1
]}

Kondo, S ^{[1
]}

Katoh, H ^{[1
]}

机构：

[1] Hokkaido Univ, Grad Sch Med, Div Canc Med, Dept Surg Oncol,Kita Ku, Sapporo, Hokkaido 0608648, Japan

来源：

SURGERY TODAY | 2003年 / 33卷 / 02期

关键词：

hand-assisted thoracoscopic surgery; hand-assisted laparoscopic surgery; hand-assisted endoscopic esophagectomy;

D O I：

10.1007/s005950300037

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Radical esophagectomy is a highly invasive operation for esophageal cancer, and improved techniques are being sought to reduce the invasiveness of this procedure. We devised a method in which an assistant inserts their left hand into the thoracic cavity, and the operator inserts their left hand into the abdominal cavity through a small incision in the upper quadrant during an endoscopic procedure. Between 1996 and 1999, we performed endoscopic esophagectomy on 18 patients. The median number of mediastinal lymph nodes removed by thoracoscopic surgery was 20.1 +/- 9.4 and the median number of abdominal lymph nodes removed by laparoscopic surgery was 11.1 +/- 5.6. The number of nodes dissected by endoscopic surgery did not differ significantly from the number of nodes dissected by conventional thoracotomy with laparotomy. Our experience shows that endoscopic esophagectomy with reconstruction of the esophagus assisted by inserting the hand into the thoracic and abdominal cavity, for safety and certainty, is an effective technique that is much less invasive than radical esophagectomy performed by conventional thoracotomy with laparotomy.

引用

页码：158 / 161

页数：4

共 11 条

[1] Thoracoscopic en bloc total esophagectomy with radical mediastinal lymphadenectomy [J].