PDF(Pubmed)
Abstract：
UNASSIGNED: Minimally invasive McKeown esophagectomy (McKeown MIE) is performed at many hospitals in esophageal cancer(EC) treatment. However, secure and quick methods for dissecting the esophagus and dissecting lymph nodes in this surgery are lacking. This study introduces a simple, secure and feasible esophagus dissecting technique named two-rope method. Two mobile traction ropes are placed around the esophagus and we tow these ropes to free the esophagus, dissect the lymph nodes, and decrease the operative trauma.
UNASSIGNED: Retrospective analysis was performed on 112 patients who underwent McKeown MIE in our center from January 2019 to September 2021. They were assigned into two groups based on the method of dissecting the esophagus: Group A (two-rope method, 45 cases) and Group B (regular method, 67 cases). Operation time, thoracic operation time, the number of dissected thoracic lymph nodes, and postoperative complications were compared between the two groups after propensity score matching.
UNASSIGNED: Using 1:1 nearest neighbor matching, we successfully matched 41 pairs of patients. Operation time, thoracic operation time, and the duration (ac to as) was significantly shorter and the size of the abdominal incision was significantly smaller in the Group A than Group B (p < 0.05). There was no statistically significant difference in the number of dissected thoracic lymph nodes, pulmonary infection, anastomotic leak, recurrent laryngeal (RLN) injury, and chylothorax between the two groups (p > 0.05).
UNASSIGNED: Two-rope method to free the esophagus and dissect thoracic lymph nodes in McKeown MIE has significant advantages compared with the regular method. The technique is, therefore suitable for widespread adoption by surgeons.
UNASSIGNED: Retrospective analysis was performed on 112 patients who underwent McKeown MIE in our center from January 2019 to September 2021. They were assigned into two groups based on the method of dissecting the esophagus: Group A (two-rope method, 45 cases) and Group B (regular method, 67 cases). Operation time, thoracic operation time, the number of dissected thoracic lymph nodes, and postoperative complications were compared between the two groups after propensity score matching.
UNASSIGNED: Using 1:1 nearest neighbor matching, we successfully matched 41 pairs of patients. Operation time, thoracic operation time, and the duration (ac to as) was significantly shorter and the size of the abdominal incision was significantly smaller in the Group A than Group B (p < 0.05). There was no statistically significant difference in the number of dissected thoracic lymph nodes, pulmonary infection, anastomotic leak, recurrent laryngeal (RLN) injury, and chylothorax between the two groups (p > 0.05).
UNASSIGNED: Two-rope method to free the esophagus and dissect thoracic lymph nodes in McKeown MIE has significant advantages compared with the regular method. The technique is, therefore suitable for widespread adoption by surgeons.
摘要：
未经证实：微创McKeown食管切除术（McKeownMIE）在许多食管癌（EC）治疗医院进行。然而,在这种手术中，缺乏安全和快速的解剖食管和解剖淋巴结的方法。这项研究引入了一个简单的，安全可行的食管解剖技术称为两绳法。两条活动牵引绳围绕食道放置，我们拖曳这些绳索以释放食道，解剖淋巴结,减少手术创伤.
UNASSIGNED：对2019年1月至2021年9月在我们中心接受McKeownMIE的112例患者进行了回顾性分析。根据解剖食管的方法将他们分为两组：A组（双绳法，45例）和B组（常规方法，67例)。操作时间,开胸手术时间,胸部淋巴结的解剖数,比较两组倾向评分匹配后的术后并发症。
UNASSIGNED：使用1:1最近邻匹配，我们成功匹配了41对患者。操作时间,开胸手术时间,与B组相比，A组的持续时间（ac至as）明显更短，腹部切口的大小明显更小（p<0.05）。胸廓淋巴结清扫数差异无统计学意义,肺部感染,吻合口漏,喉返（RLN）损伤，两组之间乳糜胸（p>0.05）。
UNASSIGNED：两绳方法在McKeownMIE中释放食道和解剖胸部淋巴结与常规方法相比具有显着的优势。技术是，因此适合外科医生广泛采用。
UNASSIGNED：对2019年1月至2021年9月在我们中心接受McKeownMIE的112例患者进行了回顾性分析。根据解剖食管的方法将他们分为两组：A组（双绳法，45例）和B组（常规方法，67例)。操作时间,开胸手术时间,胸部淋巴结的解剖数,比较两组倾向评分匹配后的术后并发症。
UNASSIGNED：使用1:1最近邻匹配，我们成功匹配了41对患者。操作时间,开胸手术时间,与B组相比，A组的持续时间（ac至as）明显更短，腹部切口的大小明显更小（p<0.05）。胸廓淋巴结清扫数差异无统计学意义,肺部感染,吻合口漏,喉返（RLN）损伤，两组之间乳糜胸（p>0.05）。
UNASSIGNED：两绳方法在McKeownMIE中释放食道和解剖胸部淋巴结与常规方法相比具有显着的优势。技术是，因此适合外科医生广泛采用。
