OrViL经口钉砧输送系统在全腔镜食管癌根治术中的应用 : = The application of the circular-stapled anastomosis with the trans-orally inserted anvil system OrViL in total thoracoscopic and laparoscopic radical esophagectomy of esophageal cancer
目的探讨OrViL经口钉砧输送系统在全腔镜食管癌根治术中的安全性、可行性及疗效。方法收集2009年9月至2012年3月6例食管中下段癌患者,实施全腔镜下食管癌根治术,使用OrViL钉砧输送系统经口腔送入钉砧,置入25mm圆形吻合器,行食管胃胸膜顶机械吻合。结果 6例患者均在全胸腹腔镜下顺利完成手术,平均手术时间为260min(210～340min),出血量为120ml(100～250ml),术后胸管留置时间为4d(3～6d),住院时间为14.2d(11～26d)。术后发生肺部感染3例,单侧喉返神经损伤1例,无乳糜胸、吻合口瘘及狭窄等其他并发症。随访6～24个月,除1例失访外均无远处转移、复发和严重返流症状。结论使用OrViL经口钉砧输送系统进行全腔镜食管癌根治及食管胃胸内吻合术安全、可行,近期临床治疗效果较好。.
Objective To investigate the application of trans-orally inserted anvil system OrViLTM in total thoracoscopic and laparoscopic radical esophagectomy,and to evaluate its feasibility,safety and efficacy.Methods Five patients of lower and middle thoracic esophageal cancer and 1 of cardia cancer were enrolled to receive total thoracoscopic and laparoscopic radical esophagectomy.The esophagogastric anastomosis was completed by using trans-orally inserted anvil system OrViL(Covident,CT,USA) and 25mm circular stapler on upper thoracic cavity under the vision of thoracoscope.Results The operation of the 6 patients was successful and uneventful.The average operative time was 260min(210-340min)and blood loss was 120ml(100-250ml).The average time of thoracic drainage was 4 days(3-6 days) and discharge time was 14.2 days(11-26 days).After the operation,pulmonary infections occurred in 3 patients,and 1 in unilateral recurrent laryngeal nerve injury.No complications like chylothorax,anastomotic leakage or stenosis and other severe complications occurred.With a 6 to 24 months follow-up,no recurrence,distant metastasis or severe reflux observed.Conclusion The technique of total thoracoscopic and laparoscopic Ivor Lewis esophagectomy with trans-orally placed anvil system OrViL for the esophagogastric anastomosis in thoracic cavity is feasibility and safety,showing a good short-term clinical outcome..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2012-12-15 2012 |
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| Erschienen: |
2012-12-15 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2012 |
|---|---|
| Enthalten in: |
Lin chuang zhong liu xue za zhi - (2012), 12 vom: 15. Dez., Seite 1128-1131 Original Letters: Enthalten in 临床肿瘤学杂志 (DE-600)2991484-X (DE-600)2991484-X 江苏省南京市 |
| Reihe: |
China Academic Journals (CAJ), E, 医药卫生科技 = Medicine & Public Health |
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| Sprache: |
Chinesisch |
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| Weiterer Titel: |
The application of the circular-stapled anastomosis with the trans-orally inserted anvil system OrViL in total thoracoscopic and laparoscopic radical esophagectomy of esophageal cancer |
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| Beteiligte Personen: |
孙晓雁 [VerfasserIn] |
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| Links: |
oversea.cnki.net [lizenzpflichtig] |
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| Themen: |
医药、卫生 |
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| Anmerkungen: |
Author info:SUN Xiao-yan,GUO Ming,HU Meng,YANG Qing-jie,LEI Yun-hong.Department of Thoracic Surgery,Affiliated Chenggong Hospital of Xiamen University,Xiamen 361003,China |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
CAJ392585669 |
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| 245 | 1 | 0 | |a OrViL经口钉砧输送系统在全腔镜食管癌根治术中的应用 |b = The application of the circular-stapled anastomosis with the trans-orally inserted anvil system OrViL in total thoracoscopic and laparoscopic radical esophagectomy of esophageal cancer |
| 246 | 3 | 1 | |a The application of the circular-stapled anastomosis with the trans-orally inserted anvil system OrViL in total thoracoscopic and laparoscopic radical esophagectomy of esophageal cancer |
| 264 | 1 | |c 2012-12-15 | |
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| 500 | |a Author info:SUN Xiao-yan,GUO Ming,HU Meng,YANG Qing-jie,LEI Yun-hong.Department of Thoracic Surgery,Affiliated Chenggong Hospital of Xiamen University,Xiamen 361003,China | ||
| 520 | |a 目的探讨OrViL经口钉砧输送系统在全腔镜食管癌根治术中的安全性、可行性及疗效。方法收集2009年9月至2012年3月6例食管中下段癌患者,实施全腔镜下食管癌根治术,使用OrViL钉砧输送系统经口腔送入钉砧,置入25mm圆形吻合器,行食管胃胸膜顶机械吻合。结果 6例患者均在全胸腹腔镜下顺利完成手术,平均手术时间为260min(210～340min),出血量为120ml(100～250ml),术后胸管留置时间为4d(3～6d),住院时间为14.2d(11～26d)。术后发生肺部感染3例,单侧喉返神经损伤1例,无乳糜胸、吻合口瘘及狭窄等其他并发症。随访6～24个月,除1例失访外均无远处转移、复发和严重返流症状。结论使用OrViL经口钉砧输送系统进行全腔镜食管癌根治及食管胃胸内吻合术安全、可行,近期临床治疗效果较好。 | ||
| 520 | |a Objective To investigate the application of trans-orally inserted anvil system OrViLTM in total thoracoscopic and laparoscopic radical esophagectomy,and to evaluate its feasibility,safety and efficacy.Methods Five patients of lower and middle thoracic esophageal cancer and 1 of cardia cancer were enrolled to receive total thoracoscopic and laparoscopic radical esophagectomy.The esophagogastric anastomosis was completed by using trans-orally inserted anvil system OrViL(Covident,CT,USA) and 25mm circular stapler on upper thoracic cavity under the vision of thoracoscope.Results The operation of the 6 patients was successful and uneventful.The average operative time was 260min(210-340min)and blood loss was 120ml(100-250ml).The average time of thoracic drainage was 4 days(3-6 days) and discharge time was 14.2 days(11-26 days).After the operation,pulmonary infections occurred in 3 patients,and 1 in unilateral recurrent laryngeal nerve injury.No complications like chylothorax,anastomotic leakage or stenosis and other severe complications occurred.With a 6 to 24 months follow-up,no recurrence,distant metastasis or severe reflux observed.Conclusion The technique of total thoracoscopic and laparoscopic Ivor Lewis esophagectomy with trans-orally placed anvil system OrViL for the esophagogastric anastomosis in thoracic cavity is feasibility and safety,showing a good short-term clinical outcome. | ||
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