Simultaneous transhiatal esophagectomy and coronary artery bypass grafting without cardiopulmonary bypass.

Simultaneous transhiatal esophagectomy and coronary artery bypass grafting without cardiopulmonary bypass.
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同时进行经裂孔食管切除术和冠状动脉旁路移植术,无需体外循环。

DOI:
10.1046/j.1442-2050.1999.00053.x
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发表时间:
1999
期刊:
Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus
影响因子:
--
通讯作者:
G. Campalani
G. Campalani
中科院分区:
--
文献类型:
--
作者:
J. Jones;A. Melua;V. Anikin;G. Campalani

文献摘要

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1例69岁患者因食管胃连接部癌和良性梭形细胞胃肿瘤接受了同期经裂孔食管切除术和冠状动脉旁路移植术,未进行体外循环。采用标准的经裂孔食管切除术。将长隐静脉移植到左前降支动脉和远端旋动脉。总手术时间为6.5小时,总缺血时间为19分钟。患者恢复良好,于第18天出院。术后6个月,他享受着积极的生活方式。
A 69-year-old patient underwent simultaneous transhiatal esophagectomy for carcinoma of the esophagogastric junction and benign spindle cell gastric tumor and coronary artery bypass grafting without cardiopulmonary bypass. A standard technique of transhiatal esophagectomy was used. The long saphenous vein was grafted to the left anterior descending artery and to the distal circumflex artery. The total theatre time was 6.5 h and the total ischemic time was 19 min. The patient made a good recovery and was discharged on day 18. He is enjoying an active lifestyle 6 months post-operatively.