摘要: |
目的:比较微创食管癌手术中,使用食管悬吊法或常规方法对左喉返神经旁淋巴结清扫情况、手术时间和相关并发症的影响。
方法:回顾性分析2015年上海市中山医院微创手术治疗的145例食管癌患者的临床资料,其中71例术中使用食管悬吊法清扫左喉返神经旁淋巴结,另74例术中使用常规方法清扫左喉返神经旁淋巴结。
结果:与常规方法组比较,食管悬吊组的左喉返神经旁淋巴结清扫数量(2.55±0.20枚 比1.46±0.22枚,P<0.05)显著增加,而手术时间(262.60±6.44 分钟 比 265.60±6.17 分钟)和左喉返神经旁淋巴结清扫时间(9.90±0.34 分钟 比 9.60±0.36 分钟)并没有显著增加,相关并发症如喉返神经的不可逆损伤、胸导管损伤等也没有增加。
结论:微创食管癌根治术中采用食管悬吊法可更彻底地清扫左喉返神经旁淋巴结,且并不增加手术时间和围手术期并发症。 |
关键词: 食管癌 微创 食管悬吊法 左喉返神经 淋巴结清扫 术后并发症 |
DOI:10.12025/j.issn.1008-6358.2016.20160710 |
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A retrospective study of left para-laryngeal recurrent nerve lymphadenectomy by esophageal suspension in minimally invasive esophagectomy |
linmiao
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Zhongshan hospital, Fudan university
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Abstract: |
Objective: To analyze the difference in left para-laryngeal recurrent nerve lymph node dissectioin, operation duration, and perioperative morbidity with or without esophageal suspension in minimally invasive esophagectomy.
Methods: From January to December 2015, 145 patients with esophageal cancer received minimally invasive esophagectomy in Shanghai Zhongshan hospital. In left para-laryngeal recurrent nerve lymphadenectomy, 71 from 145 patients received esophageal suspension, while 74 from 145 patients did not.
Results: Compared with normal group, esopphageal suspension group has a larger number of dissected lymph nodes(2.55±0.20 vs. 1.46±0.22, P<0.05). Howeveer, the duration of surgery and lymphadenectomy are not increased in esophageal suspension group, as well as the perioperative morbidity including laryngeal recurrent nerve injury and thoracic duct injury.
Conclusion: Esophageal suspension in minimally invasive esophagectomy helps improve the quality of left para-laryngeal recurrent nerve lymphadenectomy, without increasing operation duration and perioperative morbidity. |
Key words: esophageal cancer minimally invasive esophageal suspension left laryngeal recurrent nreve lymphadenectomy perioperative morbidity |