期刊
JOURNAL OF THORACIC DISEASE
卷 13, 期 1, 页码 133-139出版社
AME PUBL CO
DOI: 10.21037/jtd-20-2331
关键词
Esophageal neoplasm; radical resection; inflatable mediastinoscope; intraoperative events
The study showed that esophagectomy via transcervical incision inflatable single-port mediastinoscope combined with laparoscopy is a safe and feasible minimally invasive technique. While intraoperative events are inevitable, careful preoperative examination, familiarization with anatomical structures, and wise selection of energy devices are key factors for successful surgeries with fewer intraoperative events under the guidance of experienced surgeons.
Background: Esophagectomy via transcervical incision inflatable single-port mediastinoscope combined with laparoscopy as a safe and feasible minimally invasive technique has gained attention recently. But the occurrence of Intraoperative events is inevitable. It's necessary to investigate and discuss the intraoperative events and countermeasures during operation. Methods: Intraoperative events were retrospectively reviewed in 60 patients who underwent esophagectomy via transcervical incision inflatable single-port mediastinoscope combined with laparoscopy in the recent 3 years. Results: There was no perioperative death and no aortic or bronchial injury. Bronchial artery injury occurred in 2 cases (3.34%), bronchial artery combined with azygos vein hemorrhage occurred in 1 case (1.67%). The pleura were injured in 3 cases (5%). Recurrent laryngeal nerve injury was noticed in 7 cases (11.67%). Thoracic duct injury occurred in 1 case (1.67%). Conclusions: As a new surgical method, esophagectomy via transcervical incision inflatable single-port mediastinoscope combined with laparoscopy is considered safe and feasible, but requires improvement when compared with traditional surgical methods. Due to the influence of surgical space and with experienced surgeons, the incidence of intraoperative events such as intraoperative bleeding and thoracic duct injury is not dominant when compared with the traditional surgical methods. Thoracic surgeons should continuously improve their clinical knowledge as well as skills. Careful preoperative examination and evaluation of the patients, being familiar with the anatomical structure and various methods, wise selection of energy devices and calmly dealing with all kinds of events are the key factors for successful surgeries with fewer intraoperative events.
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