Abstract:
AIMS:To assess the safety and feasibility of minimally invasive esophagectomy and selected three-field lymphadenectomy with the right bronchial occlusion in left semi-prone position under artificial pneumothorax. METHODS:Thoracoscopic-laparoscopic subtotal esophagectomy and selected three-field lymphadenectomy were performed in 166 patients with esophageal carcinoma by the right bronchial occlusion in left semi-prone position under artificial pneumothorax. RESULTS:109 patients received two-field lymphadenectomy and 57 received three-field lymphadenectomy. The average operative time was 202.5 ± 21.3 min; the average thoracoscopic operative time was 98.4 ± 15.5 min. The average blood loss was 39.6 ± 4.2 ml, and no blood transfusion was needed during the surgery. The mean lymph node harvest was 28.4 ± 5.2 nodes. Hospital stay ranged from 7 to 95 days and the average was 11.3 days. The postoperative complication rate was 29.5%, and the mortality rate was 1.2%. CONCLUSIONS:It is feasible and safe to perform thoracoscopic-laparoscopic subtotal esophagectomy and selected three-field lymphadenectomy with the right bronchial occlusion in left semi-prone position under artificial pneumothorax for esophageal carcinoma. The procedure shows advantages in improved visibility and accessibility of the surgical field, and better subsequent surgical outcomes.
journal_name
Dig Surgjournal_title
Digestive surgeryauthors
Zhang Y,Duan R,Xiao X,Pan Tdoi
10.1159/000371747subject
Has Abstractpub_date
2015-01-01 00:00:00pages
77-81issue
2eissn
0253-4886issn
1421-9883pii
000371747journal_volume
32pub_type
杂志文章abstract:BACKGROUND:Hilar resection in combination with extended liver resections has resulted in a higher rate of R0 resections and increased survival in patients with hilar cholangiocarcinoma (HCCA). This aggressive surgical approach is, however, associated with high rates of operative morbidity and mortality, largely due to ...
journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000323825
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Despite the increasing number of reports on the favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC), there is no consensus regarding this surgical procedure. OBJECTIVE:The study aimed to develop a consensus statement on the application of laparoscopic surgery for GBC based on expert opin...
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pub_type: 共识发展会议,杂志文章
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pub_type: 杂志文章,评审
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journal_title:Digestive surgery
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:Digestive surgery
pub_type: 杂志文章
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journal_title:Digestive surgery
pub_type: 杂志文章,评审
doi:10.1159/000068855
更新日期:2003-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000018886
更新日期:2000-01-01 00:00:00
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journal_title:Digestive surgery
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更新日期:2009-02-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000331255
更新日期:2011-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000324596
更新日期:2011-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000091444
更新日期:2005-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
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更新日期:1998-01-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
doi:10.1159/000018764
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Mexican health system structure allows us to study the differences in bile duct injury (BDI) management. The study aimed to assess the differences in patients with complex BDI in 2 different public sector institutions using a new proposed standard terminology. METHODS:Retrospective review (2008-2019) in 2 p...
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pub_type: 杂志文章
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更新日期:2020-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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更新日期:2016-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000102902
更新日期:2007-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 历史文章,杂志文章,评审
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更新日期:2010-08-01 00:00:00
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journal_title:Digestive surgery
pub_type: 临床试验,杂志文章
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journal_title:Digestive surgery
pub_type: 杂志文章
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更新日期:2020-01-01 00:00:00