食管疾病2025，Vol.7Issue(2)：106-110,5.DOI:10.15926/j.cnki.issn2096-7381.2025.02.005
充气式纵隔镜联合腹腔镜食管切除术在肺功能障碍食管癌患者中的可行性
Feasibility of Inflatable Mediastinoscopy Combined with Laparoscopic Esophagectomy in Esophageal Cancer Patients with Pulmonary Dysfunction
摘要
Abstract
Objective To explore the safety and feasibility of inflatable video-assisted mediastinoscopic transhiatal esophagectomy(IVMTE)in patients with esophageal cancer and pulmonary dysfunction.Methods A retrospective analysis was conducted on 53 patients with pulmonary dysfunction who underwent IVMTE by the same surgical team in our hospital from July 2021 to September 2023.The perioperative complication rates,including pulmonary infection,hoarseness,number of lymph nodes dissected,operation time,intraoperative bleeding,and anastomotic leakage,were observed.Results All patients successfully completed the surgery,with average surgery time of 229.8±42.7 minutes and average blood loss of 70.5±34.4 mL.The average number of dissected lymph nodes was 20.4±4.2.The average postoperative hospital stay was 13.5±5.5 days,and the average ICU stay was 1.3±1.0 days.3 cases(5.66%)experienced cervical anastomotic leakage,5 cases(9.43%)developed postoperative pneumonia,and 13 cases(24.53%)had hoarseness.The R0 resection rate was 100%.There is no perioperative mortality.Conclusion IVMTE is safe and feasible for the treatment of patients with esophageal cancer and pulmonary dysfunction.It does not increase the risk of perioperative complications and reduces the requirements related to pulmonary function.关键词
纵隔镜/食管切除术/术后并发症/肺功能Key words
mediastinoscopic/esophagectomy/postoperative complications/pulmonary function分类
临床医学引用本文复制引用
田治强,刘季钊,乔孟晗,冯绍康,李小兵..充气式纵隔镜联合腹腔镜食管切除术在肺功能障碍食管癌患者中的可行性[J].食管疾病,2025,7(2):106-110,5.基金项目
河南省联合共建项目(LHGJ20210880) （LHGJ20210880）
