Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo y học: "Video-assisted mediastinoscopic transhiatal esophagectomy combined with laparoscopy for esophageal cancer"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Video-assisted mediastinoscopic transhiatal esophagectomy combined with laparoscopy for esophageal cancer. | Wu et al. Journal of Cardiothoracic Surgery 2010 5 132 http www.cardiothoracicsurgery.Org content 5 1 132 JCTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Video-assisted mediastinoscopic transhiatal esophagectomy combined with laparoscopy for esophageal cancer 1t 1t 2 X 71 2 1 w 1 -71 -r X 1 Bin Wu Lei Xue Ming Qiu Xiangmin Zheng Lei Zhong Xiong Qin Zhifei Xu Abstract Background Minimally invasive transhiatal esophagectomy for esophageal cancer includes mediastinoscopic and laparoscopic transhiatal esophagectomy. It is inadequate in both two techniques. It is impossible to dissect the lower esophagus with single mediastinoscopy or the upper and middle esophagus with single laparoscopy. We use mediastinoscopy combined with laparoscopy to dissect the whole esophagus and stomach including lymph node dissection. In addition laparoscopic gastric mobilization leads to less trauma than an open gastroplasty. Methods 40 cases of video-assisted mediastinoscopic transhiatal esophagectomy were performed and divided into two groups.32 patients were received surgical therapy of single mediastinoscopic esophagectomy with open gastroplasty in group A while 8 patients were received surgical therapy of mediastinoscopic esophagectomy combined with laparoscopic lower esophageal and gastric dissection in group B. The perioperative complications were recorded. Results Video-assisted mediastinoscopic transhiatal esophagectomy was performed successfully both in group A and B. It suggested that mediastinoscopy combined with laparoscopy be better than single mediastinoscopy because of less blood loss less pain shorter ICU stay and complete lower mediastinal lymph nodes resection. Conclusions Video-assisted mediastinoscopic transhiatal esophagectomy combined with laparoscopy is a safe and minimally invasive technique with whole esophagus and mediastinal lymph node dissection in the clear visualization of the mediastinum reducing the abdominal trauma. Background Since the .