Uniportal Video-Assisted Thoracoscopic Surgery Resection of a Giant Midesophageal Diverticulum.
Uniportal Video-Assisted Thoracoscopic Surgery Resection of a Giant Midesophageal Diverticulum.
复制标题
单孔视频辅助胸腔镜手术切除巨大食管中段憩室。
DOI：
10.1016/j.athoracsur.2016.09.054
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发表时间：
2017
影响因子：
4.6
通讯作者：
A. L. Lo Monte
中科院分区：
文献类型：
--
作者：
F. Caronia;A. Fiorelli;M. Santini;A. L. Lo Monte
我们描述了一种新的视频辅助技术，使用单个 5 厘米端口来治疗巨大的食管中段憩室。它保持了与憩室切除术、肌切开术和胃底折叠术等传统开放技术相同的原理。食管主体、憩室和食管胃交界处的更好可视化以及吻合器盒与食管纵轴的更好对准都是支持我们手术的技术因素。纵隔淋巴结严重钙化和弥漫性胸膜粘连是主要禁忌症。然而，在将该技术推荐为可接受的治疗方法之前，还需要未来的经验。
We describe a new video-assisted technique for the management of a giant midesophageal diverticulum using a single 5-cm port. It maintained the same principles of the traditional open technique as diverticulectomy, myotomy, and fundoplication. The better visualization of the main esophageal body, diverticulum, and esophagogastric junction and the better alignment of the stapler cartridge to the longitudinal axis of the esophagus are all technical factors supporting our procedure. Heavily calcified mediastinal lymph nodes and diffuse pleural adhesions are the main contraindications. However, future experiences are needed before this technique can be recommended as acceptable treatment.