Esophagectomy combined with radical lymphadenectomy by video-thoracoscopy / 中华外科杂志
Zhonghua Wai Ke Za Zhi
; (12): 628-630, 2005.
Article
en Zh
| WPRIM
| ID: wpr-264454
Biblioteca responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore the value of video-thoracoscopy in the thoracoscopic mobilization of the thoracic esophagus combined with radical lymphadenectomy.</p><p><b>METHODS</b>Between March 2002 and May 2003, thoracoscopic mobilization of the thoracic esophagus combined with radical lymphadenectomy was attempted in 25 patients (test group) and 22 cases received routine open thoracotomy (control group). Mean age was 55 years (range 34 - 73). The cancers were T(1)-T(3). Dissection of the thoracic esophagus was attempted via a right-sided approach, followed by a laparotomy and a cervical incision.</p><p><b>RESULTS</b>The thoracoscopic procedure was successful in all patients. There was no post-operative death in two groups. Mean node harvest was (7.8 +/- 1.7) nodes for test group and (7.5 +/- 1.3) nodes for control group (P > 0.05). Mean blood lo of the thoracic component was (130 +/- 83) ml for test group and (350 +/- 135) ml for control group (t = 6.83, P < 0.05). Median post-operative stay was (10.9 +/- 2.5) days for test group and (14.6 +/- 1.7) days for control group (t = 5.87, P < 0.05).</p><p><b>CONCLUSION</b>Video-thoracoscopy could potentially provide an oncologically sound means for resecting the thoracic esophagus without the need for a thoracotomy. Radical thoracoscopic mobilization of the esophagus is feasible.</p>
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Patología
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Cirugía General
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Neoplasias Esofágicas
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Toracotomía
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Estudios de Seguimiento
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Resultado del Tratamiento
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Esofagectomía
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Cirugía Torácica Asistida por Video
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Escisión del Ganglio Linfático
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Métodos
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Zhonghua Wai Ke Za Zhi
Año:
2005
Tipo del documento:
Article