两例胃食管交界癌机器人辅助全微创食管切除术与结肠插管术:手术注意事项。

Q4 Medicine Journal of Chest Surgery Pub Date : 2024-05-05 Epub Date: 2024-02-07 DOI:10.5090/jcs.23.131
Kinam Shin, In Ha Kim, Yun-Ho Jeon, Chung Sik Gong, Chan Wook Kim, Yong-Hee Kim
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引用次数: 0

摘要

本病例报告介绍了两名胃食管交界处癌症患者,他们都接受了结肠插管全微创食管切除术。患者 1 和 2 分别是 43 岁和 78 岁的男性,他们的临床表现和病史各不相同。患者 1 在腹腔镜全胃切除术、结肠导管准备术和胸腔内食管-结肠-空肠吻合术的基础上接受了机器人微创食管切除术。患者 2 完全接受了机器人全胃切除术、结肠导管准备术和胸腔内食管-结肠-空肠吻合术。结肠插管术的主要挑战在于评估结肠血管情况并确保导管有足够的长度,这是成功吻合的关键。在这两个病例中,我们都使用了吲哚菁绿荧光血管造影术来评估血管情况。确定合适的导管具有挑战性;因此,在重建过程中确保导管稍长至关重要。由于完全微创结肠插管术可以减轻术后疼痛并促进恢复,因此这种手术技术是可行且有益的。
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Two Cases of Robot-Assisted Totally Minimally Invasive Esophagectomy with Colon Interposition for Gastroesophageal Junction Cancer: Surgical Considerations.

This case report presents 2 patients with gastroesophageal junction cancer who both underwent totally minimally invasive esophagectomy with colon interposition. Patients 1 and 2, who were 43-year-old and 78-year-old men, respectively, had distinct clinical presentations and medical histories. Patient 1 underwent minimally invasive robotic esophagectomy with a laparoscopic total gastrectomy, colonic conduit preparation, and intrathoracic esophago-colono-jejunostomy. Patient 2 underwent completely robotic total gastrectomy, colon conduit preparation, and intrathoracic esophago-colono-jejunostomy. The primary challenge in colon interposition is assessing colon vascularity and ensuring an adequate conduit length, which is critical for successful anastomosis. In both cases, we used indocyanine green fluorescence angiography to evaluate vascularity. Determining the appropriate conduit is challenging; therefore, it is crucial to ensure a slightly longer conduit during reconstruction. Because totally minimally invasive colon interposition can reduce postoperative pain and enhance recovery, this surgical technique is feasible and beneficial.

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来源期刊
Journal of Chest Surgery
Journal of Chest Surgery Medicine-Surgery
CiteScore
0.80
自引率
0.00%
发文量
76
审稿时长
7 weeks
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