#31 Contest 2019 单孔充气式纵隔镜食管癌根治术(纵隔部分),曹庆东

Single-Port Inflatable Mediastinoscopy Combined With Laparoscopic-Assisted Small Incision Surgery for Radical Esophagectomy (Mediastinal Section) 作者：曹庆东，李晓剑，甘向峰，王晓进，吴天驰 单位：中山大学附属第五医院 通讯作者：曹庆东，cqd8866@163.com,+8613680356988 摘要：Currently, radical esophagectomy remains the gold standard treatment for the early and intermediate-stage esophageal cancer. With the development of minimally invasive surgical technique, the mortality of esophagectomy has been dramatically decreased. Nevertheless, in minimally invasive esophagectomy, the transthoracic approach is most often adopted. Transthoracic surgery is a crucial independent risk factor for the incidence of postoperative pulmonary complications, the main cause of morbidity and mortality following thoracotomy. To reduce postoperative pulmonary complications, considerable efforts have been made to develop the non-transthoracic esophagectomy for esophageal cancer. For instance, esophageal stripping and transhiatal esophagectomy are the non-transthoracic operations developed for treatment for esophageal cancer. However, these two methods are limited with the poor surgical view, poor mediastinal lymph node dissection (especially upper mediastinal lymph nodes), and high risk of bleeding. In 2015 and 2016, Prof. Fujiwara has developed novel surgical methods on the dissection of upper mediastinal lymph nodes using single-port mediastinoscopy through the cervical incision and the lower mediastinal lymph nodes by laparoscopy, respectively. For the first time, non-transthoracic radical resection of esophageal cancer could be achieved along with the dissection of all the mediastinal lymph nodes. Based on the Fujiwara’s method, we further improved this surgical method to the “single-port inflatable mediastinoscopy combined with laparoscopy for the radical treatment of esophageal cancer” and has successfully performed this novel surgical method for the first case in March 2016. This video demonstrates the excellent exposure of the esophagus and the recurrent laryngeal nerve that can be achieved by Single-Port Inflatable Mediastinoscopy. This operation allows a safe and more precise dissection of the esophagus. The patient is 78 years old, male, with a malignant structure of the middle esophagus. Biopsy shows a squamous cell carcinoma. 利益冲突：无。

• Category: Esophageal surgery,Mediastinal surgery,Contest 2019,Other
• Duration: 14:04
• Date:  5 years ago
• Tags:   contest 2019, 曹庆东, single-port inflatable mediastinoscopy combined with laparoscopic-assisted small incision surgery for radical esophagectomy (mediastinal section).