背景:对胸部畸形的患者进行经胸食管切除术(TTE)通常很困难,因为这些患者可能因为非肿瘤原因而失去手术。
方法:在这种情况下,我们有1例食管鳞状细胞癌(ESCC)患者,8年前因左肺切除术导致胸腔广泛粘连而不适合行TTE.
方法:ESCC。
方法:基于藤原教授的手术方法,我们通过提出单孔充气纵隔镜联合腹腔镜辅助食管切除术来进一步改进它。
结果:在撰写本文时,计算机断层扫描和胃镜检查显示吻合口无狭窄,也没有疾病复发的证据.
结论:据我们所知,本病例是对接受肺切除术的患者进行的首例单孔充气纵隔镜下食管切除术.
BACKGROUND: It is often difficult to perform transthoracic esophagectomy (TTE) in patients with chest deformities, as these patients may be lost to surgery for non-oncological reasons.
METHODS: In this
case, we had a patient with esophageal squamous cell carcinoma (ESCC) who was not suitable for TTE because of extensive thoracic adhesions caused by the left pneumonectomy 8 years ago.
METHODS: ESCC.
METHODS: Based on Professor Fujiwara\'s surgical method, we further improved it by proposing a single-port inflatable
mediastinoscopy combined with laparoscopic-assisted esophagectomy.
RESULTS: At the time of this writing, computed tomography and gastroscopy revealed no stenosis of anastomosis, and no evidence of disease recurrence.
CONCLUSIONS: To the best of our knowledge, the present
case is the first single-port inflatable mediastinoscopic esophagectomy performed on a patient undergoing pneumonectomy.