Thoraco-laparoscopic esophagectomy with two-field lymph node dissection for esophageal carcinoma: report of 150 cases / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 930-933, 2012.
Article
in Chinese
| WPRIM (Western Pacific)
| ID: wpr-312383
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To summarize early experience in combined thoraco-laparoscopic esophagectomy with two-field lymph node dissection for esophageal carcinoma.</p><p><b>METHODS</b>A total of 150 patients with thoracic esophageal cancer who underwent combined thoracoscopic and laparoscopic esophagectomy in Union Hospital, Fujan Medical University, were enrolled in this study.</p><p><b>RESULTS</b>Locations of the tumors included upper esophagus (n=14), middle esophagus (n=95), and lower esophagus (n=41). Pathological type showed squamous cell cancer (n=142) and other types of cancer (n=8). There was no intraoperative death. Conversion to open thoracotomy was required in 6 patients and conversion to open laparotomy in 2 patients. The average total operative time was( 258±45) min. The average operative thoracoscopic time was (140±33) min. The average time for gastric mobilization and neck esophagogastric anastomosis was (119±28) min. The average blood loss during the procedure was (207±130) ml. The average number of harvested lymph node with the specimen was 23.3±8.2. The tumor staging included stage I (n=39), II (n=58) and III (n=53). Postoperative complications occurred in 48(32%) patients including pneumonia (n=17), recurrent laryngeal injury (n=13), anastomotic leak (n=9), arrhythmias (n=9), chyle chest (n=5), delayed gastric emptying (n=5), ileus (n=2), volvulus (n=1), and thrombocytopenia (n=1). Two patients died postoperatively due to respiratory failure resulting from pneumonia.</p><p><b>CONCLUSION</b>Thoraco-laparoscopic two-field lymph node dissection of esophageal cancer is a feasible minimally invasive approach.</p>
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Thoracoscopy
/
Esophageal Neoplasms
/
Retrospective Studies
/
Follow-Up Studies
/
Esophagectomy
/
Laparoscopy
/
Lymph Node Excision
/
Methods
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Aged, 80 and over
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Gastrointestinal Surgery
Year:
2012
Document type:
Article