PDF(Pubmed)
Abstract：
A man in his late 50s presented with severe dysphagia caused by a complex refractory benign stenosis that was completely obstructing the middle oesophagus. The patient was unsatisfied with the gastrostomy tube placed via laparotomy as a long-term solution. Therefore, we performed robot-assisted minimally invasive oesophagectomy (video). Mobilisation of the stomach and gastric conduit preparation were more difficult due to the previously inserted gastrostomy tube; thus, the conduit blood supply was assessed using indocyanine green fluorescence. After an uncomplicated course, the patient was referred directly to inpatient rehabilitation on the 16th postoperative day. At 9 months after surgery, the motivated patient returned to full-time work and achieved level 7 on the functional oral intake scale (total oral diet, with no restrictions). At the 1-year follow-up, he positively confirmed all nine key elements of a good quality of life after oesophagectomy.
摘要：
一名50多岁的男子表现出严重的吞咽困难，这是由于复杂的难治性良性狭窄引起的，完全阻塞了中食道。患者对通过剖腹手术放置的胃造口管作为长期解决方案不满意。因此,我们进行了机器人辅助微创食管切除术(视频).由于先前插入的胃造口管，胃和胃导管准备的动员更加困难；因此，导管血液供应使用吲哚菁绿进行评估。经过一段简单的课程，患者在术后第16天直接接受住院康复治疗.手术后9个月，有动力的患者恢复全职工作，并在功能性口服摄入量表上达到7级(总口服饮食，没有限制)。在1年的随访中，他肯定了食管切除术后良好生活质量的所有9个关键要素。
