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- W2354780529 abstract "Objective To evaluate the clinical application and safety of combination of thoracoscopy and laparoscopy for the treatment of esophageal carcinoma.Methods Combined thoracoscopy and laparoscopy esophagectomy was carried out in 40 patients with esophageal cancer.Being placed at a left lateral decubitus position,the patients received right thoracoscopy mobilization of the intrathoracic esophagus as well as lymph node dissection;then with supine position,laparoscopy mobilization of the stomach and lymph node dissection were carried out;followed by creation of a gastric tube through a small incision under the xiphoid;finally we pulled out the gastric tube from the esophageal bed to the neck and made an intermittent gastroesophageal anastomosis.Results The cases had to coverse to open esophagectomy for unsuccess of intubate with double-lumen tube.The total operation time ranged from 215 to 400 minutes with a mean of 280 minutes.No massive hemorrhage occurred during the operation,the total blood loss ranged from 100 to 800 ml(mean,227 ml).Totally 413 lymphnods were removed(10.3 per patient in average).The mean hospital stay in this series was 13.6 days(range:8-30 days).During the hospitalization,no patient died;postoperative complications included pulmonary infection(3 cases),cervical anastomotic leak(1 case,occurred in 4 days after the surgery),hoarseness(3 cases) and chylothorax(1 case).Conclusion Combination of thoracoscopy and laparoscopy with cervical anastomosis is feasible and safe for the treatment of esophageal carcinoma." @default.
- W2354780529 created "2016-06-24" @default.
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- W2354780529 date "2011-01-01" @default.
- W2354780529 modified "2023-09-24" @default.
- W2354780529 title "Combined laparoscopy and thoracoscopy esophagectomy for esophageal carcinoma" @default.
- W2354780529 hasPublicationYear "2011" @default.
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