Thoracic cavity-to-cage ratio is a predictor of technical difficulties in minimally invasive esophagectomy.
Thoracic cavity-to-cage ratio is a predictor of technical difficulties in minimally invasive esophagectomy.
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胸腔与融合器的比率是微创食管切除术技术难度的预测指标。
DOI：
10.1016/j.surg.2022.02.008
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发表时间：
2022
期刊：
影响因子：
3.8
通讯作者：
Kakeji Y.
中科院分区：
文献类型：
--
作者：
Abe T;Oshikiri T;Goto H;Kato T;Horikawa M;Sawada R;Harada H;Urakawa N;Hasegawa H;Kanaji S;Yamashita K;Matsuda T;Kakeji Y.
背景在狭窄胸腔患者中进行传统微创食管切除术和机器人辅助微创食管切除术时偶尔会遇到技术困难。胸腔-融合器比率是胸腔长度的指标。我们假设，胸腔笼比可能是一个预测的技术困难，在传统的微创食管切除术和机器人辅助的微创esophagocyte.MethodsWe评估了340例患者谁接受了微创食管鳞状细胞癌2010年4月至2021年3月之间。胸腔-椎间融合器比计算为头臂静脉、气管分叉和右肺下静脉水平处胸腔直径与椎间融合器直径之比。此外，定义了胸腔-融合器比评分，这是基于3个节段的胸腔-融合器比的整个胸腔长度的指标。胸部手术时间被认为是手术难度的指标。ResultsWe将患者分为传统微创食管切除术（n= 295）和机器人辅助微创食管切除术（n= 45）组。根据中位胸部手术时间将每组患者分为2个队列。基于多变量分析，体重指数（P= 0.0007）、临床N分期（P= 0.0191）和胸腔-融合器比评分（P= 0.0005）是传统微创食管切除术组胸腔手术时间的独立因素。此外，胸腔笼比在气管分叉水平（P= 0.0331）是唯一的独立因素，胸部手术时间在机器人辅助微创食管切除术group.ConclusionThoracic腔笼比可以是一个预测的技术困难，在传统的微创食管切除术和机器人辅助微创食管切除术。
BackgroundTechnical difficulties are occasionally encountered when performing conventional minimally invasive esophagectomy and robot-assisted minimally invasive esophagectomy in patients with a narrow thoracic cavity. Thoracic cavity-to-cage ratio is an indicator of thoracic cavity length. We hypothesized that the thoracic cavity-to-cage ratio could be a predictor of technical difficulties in conventional minimally invasive esophagectomy and robot-assisted minimally invasive esophagectomy.MethodsWe evaluated 340 patients who underwent minimally invasive esophagectomy for esophageal squamous cell carcinoma between April 2010 and March 2021. Thoracic cavity-to-cage ratio was calculated as the diameter of the thoracic cavity to that of the thoracic cage at the brachiocephalic vein, tracheal bifurcation, and inferior right pulmonary vein levels. Moreover, thoracic cavity-to-cage ratio score, which is an indicator of the whole thoracic cavity length based on the thoracic cavity-to-cage ratio at the 3 levels, was defined. The thoracic procedure time was considered an indicator of surgical difficulty.ResultsWe divided the patients into the conventional minimally invasive esophagectomy (n= 295) and robot-assisted minimally invasive esophagectomy (n= 45) groups. The patients in each group were divided into 2 cohorts according to median thoracic procedure time. Based on multivariate analysis, body mass index (P= .0007), clinicalNstage (P= .0191), and thoracic cavity-to-cage ratio score (P= .0005) were independent factors for thoracic procedure time in the conventional minimally invasive esophagectomy group. Moreover, thoracic cavity-to-cage ratio at the tracheal bifurcation level (P= .0331) was the only independent factor for thoracic procedure time in the robot-assisted minimally invasive esophagectomy group.ConclusionThoracic cavity-to-cage ratio could be a predictor of technical difficulties in both conventional minimally invasive esophagectomy and robot-assisted minimally invasive esophagectomy.
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DOI：
10.1177/000313480306900716
发表时间：
2003
期刊：
The American Surgeon
影响因子：
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作者：
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通讯作者：
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影响因子：
2.5
作者：
Oshikiri, Taro;Yasuda, Takashi;Kakeji, Yoshihiro
通讯作者：
Kakeji, Yoshihiro
DOI：
10.1007/s00464-020-08125-y
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影响因子：
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影响因子：
2
作者：
Booka, Eisuke;Kikuchi, Hirotoshi;Takeuchi, Hiroya
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影响因子：
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作者：
Oshikiri, Taro;Yasuda, Takashi;Kakeji, Yoshihiro
通讯作者：
Kakeji, Yoshihiro