内容紹介
Azygos Arch Preserving Thoracoscopic Esophagectomy for Less Invasiveness
Summary
We reported the technique of thoracoscopic esophagectomy with preservation of azygos arch for less invasivenesss. Among thoracoscopic esophagectomy, this retchnique indicated for the patients with the tumor located at middle or lower thoracic and don't reach adventitia. Twenty-eight patients was performed this procedure and azygos arch were preserved in all cases. None the cases were converted conventional thoracotomy. The operation time was 133.5 minutes(median), and estimated blood loss was 30 mL(median)in thoracic procedure. As for thoracoscopic esophagectomy, could preserved respiratory function, further less surgical stress can obtain this technique.
要旨
われわれが行っている胸腔鏡下食道切除術における機能温存と,手術侵襲軽減をめざした奇静脈弓温存術式を報告する。適応は胸腔鏡下食道切除術施行例のうち,中・下部胸部食道癌で,T3に達しない症例としている。これまで28例に行い,全例で奇静脈弓が温存可能で,開胸移行例もなかった。右気管支動脈も27例で温存可能であった。胸部の手術時間は133.5分(中央値)で,出血量は30 mL(中央値)であった。胸腔鏡下食道切除術は,呼吸機能の温存が可能な低侵襲手術であるが,奇静脈弓・右気管支動脈・胸管を温存で,さらなる機能温存が可能となる。
目次
Summary
We reported the technique of thoracoscopic esophagectomy with preservation of azygos arch for less invasivenesss. Among thoracoscopic esophagectomy, this retchnique indicated for the patients with the tumor located at middle or lower thoracic and don't reach adventitia. Twenty-eight patients was performed this procedure and azygos arch were preserved in all cases. None the cases were converted conventional thoracotomy. The operation time was 133.5 minutes(median), and estimated blood loss was 30 mL(median)in thoracic procedure. As for thoracoscopic esophagectomy, could preserved respiratory function, further less surgical stress can obtain this technique.
要旨
われわれが行っている胸腔鏡下食道切除術における機能温存と,手術侵襲軽減をめざした奇静脈弓温存術式を報告する。適応は胸腔鏡下食道切除術施行例のうち,中・下部胸部食道癌で,T3に達しない症例としている。これまで28例に行い,全例で奇静脈弓が温存可能で,開胸移行例もなかった。右気管支動脈も27例で温存可能であった。胸部の手術時間は133.5分(中央値)で,出血量は30 mL(中央値)であった。胸腔鏡下食道切除術は,呼吸機能の温存が可能な低侵襲手術であるが,奇静脈弓・右気管支動脈・胸管を温存で,さらなる機能温存が可能となる。