No.20-Contest2020+Mckeown食管癌根治术

Abstract: During the thoracic phase of the procedure, we usually place the patient in the lateral decubitus position with an anterior tilt. An incision of 15 mm in the 4rd intercostal space and an incision of 10 mm in the 7th intercostal space on the midaxillary line is made as the main operating port and camera port respectively. The incisions of 5 mm in the 5th and 9th intercostal space on the posterior axillary line were made as the auxiliary operating port and sucker port respectively. With single lumen intubation and CO2 insufflation to a pressure of 8 mmHg, the whole right lung was deflated to visualize the esophagus better. The dissection procedure could be divided into five phases including the blocking of the posterior esophagus above the azygos vein, the blocking of the anterior esophagus above the azygos vein [including right recurrent laryngeal nerve (right RLN)], the blocking of posterior esophagus beneath azygos vein, the blocking of the anterior esophagus beneath azygos vein, and the blocking of the subcarinal and left RLN. For the abdominal and neck phase of the McKeown esophagectomy, the patient was placed in the supine position with a small pad under their shoulders. The procedure of abdominal phase was also divided into four blocks, the dissection of lesser curvature, the dissection of left gastric vessels, common hepatic artery and short gastric vessels, the dissection of greater curvature, and the dissection of hiatus of the diaphragm. We performed these four blocks subsequently.

• Category: Esophageal surgery,Contest 2020
• Duration: 12:22
• Date:  4 years ago
• Tags:   2020手术视频大赛+mckeown食管癌根治术-王长春