|Table of Contents|

Short-term outcomes of laparoscopy without abdominal incision combined with minimal thoracic incision esophagectomy in 30 cases

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2017 03
Page:
381-385
Research Field:
Publishing date:

Info

Title:
Short-term outcomes of laparoscopy without abdominal incision combined with minimal thoracic incision esophagectomy in 30 cases
Author(s):
Li Qingqing1Wang Zheng2Luo Quan2Yu Hanbing2
1.Dalian Medical University Graduate School,Liaoning Dalian 116044,China;2.Department of Thoracic Surgery,Liaoning Cancer Hospital and Institute,Liaoning Shenyang 110042,China.
Keywords:
esophagectomylaparoscopygastric tubeIvor-Lewis
PACS:
R730.5;R735.1
DOI:
10.3969/j.issn.1672-4992.2017.03.012
Abstract:
Objective:To investigate the safety,feasibility and short-term outcomes of laparoscopy without abdominal incision combined with minimal thoracic incision esophagectomy.Methods:We conducted 30 cases of laparoscopy without abdominal incision combined with minimal thoracic incision esophagectomy since 2012.To remove the stomach and D2 lymph nodes dissection under laparoscopy,part of the gastric tube was made in the abdomen.The right thoracic incision was made 10~12cm in the right fifth intercostal space.After finishing the dissection of esophagus to the thoracic inlet and removing the thoracic lymph nodes,the stomach was pulled into the thoracic cavity and anastomosed to the esophagus.The whole gastric tube was made using Ethicon 60mm articulating Endoscopic Linear Cutter in the thoracic cavity.Results:All surgery were performed successfully except one converted to laparotomy to stanch bleeding.The median operation time was 160min and mean blood loss was 25ml.No cases of abdominal complication,anastomotic leakage,pulmonary complication or gastric retention was observed.All cases were cured.Conclusion:Laparoscopy without abdominal incision combined with minimal thoracic incision esophagectomy can be safely performed to achieve favorable early outcomes.

References:

[1]Ahmedin JD,Freddie B,Melissa M,et al.Global cancer statistics[J].CA:A Cancer J Clinicians,2011,61(2):69-90.
[2]Wang GX,Mao ZF,Shi XT,et al.Clinical study on reasonable extent of lymph nodes dissection in thoracic esophageal cancer[J].Chin J Clin Thorac Cardiovasc Surg,2005,12(2):136-138.[王旭广,毛志福,师晓天,等.胸段食管鳞癌淋巴结合理廓清范围的探讨[J].中国胸心血管外科临床杂志,2005,12(2):136-138.]
[3]Xu GD,Wang SQ,Lin SQ,et al.The use of modern two-fiedl lymph node dissection in mid-thoracic esophageal cancers[J].Acad J Guangzhou Med College,2011,39(2):72-74.[徐国栋,王树钦,林松青,等.现代二野清扫术在胸中段食管癌手术中应用[J].广州医学院学报,2011,39(2):72-74.]
[4]Feng MX,Wang Q,Tan LJ,et al.Application of gastric tube in minimally invasive esophagectomy[J].Chin J Clin Thorac Cardiovasc Surg,2010,17(2):92-95.[冯明祥,王群,谭黎杰,等.管状胃在微创食管外科中的应用[J].中国胸心血管外科临床杂志,2010,17(2):92-95.]
[5]Xu ZL,Tan LJ,Wang Q,et al.Reports of esophageal carcinoma surgery using mediastinoscopy under radiographical guidance in 10 cases[J].Acad J Shanghai Med University,1999,26(3):227-229.[徐正浪,谭黎杰,王群,等.影像监视经纵隔镜食管癌切除术10例报道[J].上海医科大学学报,1999,26(3):227-229.]
[6]Cuschieri A,Shimi S,Banting S.Endoscopic oesophagectomy through a right thoracoscopic approach[J].J the Royal College of Surgeons of Edinburgh,1992,37(1):7-11.
[7]Decker G,Coosemans W,De Leyn P,et al.Minimally invasive esophagectomy for cancer[J].Eur J Cardio-thoracic Surg,2009,35(1):13-20.
[8]Kitagawa Y.Individualized and minimally invasive surgical treatment for esophageal cancer[J].Ann Thoracic and Cardiovascular Surg,2009,15(2):71-73.
[9]Zhang HL,Ping YM,He M,et al.Study on prognostic significance of lymph node metastasis in squamous cell carcinoma of thoracic esophagus[J].Chin J Clin Oncol,2001,28(5):340-343.[张合林,平育敏,何明,等.食管鳞状细胞癌淋巴结转移对预后影响的分析[J].中国肿瘤临床,2001,28(5):340-343.]
[10]Berger AC,Bloomenthal A,Weksler B,et al.Oncologic efficacy is not compromised,and may be improved with minimally invasive esophagectomy[J].J Am College of Surg,2011,212(4):560-566.
[11]Mao T,Fang WT,Gu ZT.Comparative study of perioperative complications and lymphadenectomy between minimally invasive esophagectomy and open procedure[J].Chin J Gastrointest Surg,2012,15(9):922-925.[茅腾,方文涛,谷志涛.腔镜微创与开放食管癌根治术围手术期并发症和淋巴结清扫的比较研究[J].中华胃肠外科杂志,2012,15(9):922-925.]
[12]Takassi GF,Herbella FA,Patti MG.Anatomic variations in the surgical anatomy of the thoracic esophagus and its surrounding structures[J].Arquivos Brasileiros de Cirurgia Digestiva,2013,26(2):101-106.
[13]Chen BF,Zhu CC,Wang CG,et al.Clinical comparative study of minimally invasive esophagectomy versus open esophagectomy for esophageal carcinoma[J].Chin J Surg,2010,48(16):1206-1209.[陈保富,朱成楚,王春国,等.胸腔镜腹腔镜联合手术与开放手术治疗食管癌的同期临床对照研究[J].中华外科杂志,2010,48(16):1206-1209.]
[14]Ma H.Reasons analysis and nursing observation of postoperative complications after esophageal carcinoma surgery[J].Chin J Modern Drug Application,2015,9(8):188-189.[马慧.食管癌术后并发症的原因及护理观察[J].中国现代药物应用,2015,9(8):188-189.]
[15]Liu Y,Guo PL,Hao N,et al.The effect of early appling of vibration sputum elimination machine in peri operation period to lower pulmonary infection of esophageal cancer[J].Modern Oncology,2015,23(13):1832-1834.[刘雅,郭萍利,郝楠,等.围手术期早期应用振动排痰机对降低食管癌肺部感染的效果观察[J].现代肿瘤医学,2015,23(13):1832-1834.]
[16]Nagpal K,Ahmed K,Vats A,et al.Is minimally invasive surgery beneficial in the management of esophageal cancer? A meta-analysis[J].Surg Endoscopy,2010,24(7):1621-1629.
[17]Omar K,Shiyam N,Georgios V,et al.Minimally invasive versus open oesophagectomy for patients with oesophageal cancer:a multicentre,open-label,randomised controlled trial[J].J Thorac Dis,2012,4(5):465-466.
[18]Jiang XX,Lin Z,Tan LJ,et al.Laparoscopy in three-incision minimally invasive esophagectomy[J].Chin J Min Inv Surg,2011,16(9):825-828.[蒋晓侠,林治,谭黎杰,等.腹腔镜在微创三切口食管癌根治手术中的应用[J].中国微创外科杂志,2011,16(9):825-828.]
[19]Zhang CB,Li J,Zheng J,et al.Feasible study for construction of gastric tube in esophageal reconstruction[J].J Henan Univ Sci Tech (Med Sci),2005,23(3):175-179.[张灿斌,李简,郑建,等.胃管成形术在食管重建中的可行性研究[J].河南科技大学学报(医学版),2005,23(3):175-179.]

Memo

Memo:
-
Last Update: 2016-12-29