食管和肺同步双癌的同步经纵隔食管切除术和胸腔镜肺叶切除术:病例报告。

Kenji Kameyama, Koji Takao, Atsushi Shiozaki, Hitoshi Fujiwara, Tsunehiro Ii
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引用次数: 0

摘要

背景:食管和肺同步双癌的同期手术创伤很大,因此首选微创手术。对于左肺癌,由于仅从左胸腔入路进行根治性食管切除术的难度以及双侧开胸手术的高创伤性,有关同期手术的报道很少:一名 65 岁的男性被诊断出患有食管和左肺同步双癌,他同时接受了经纵隔食管切除术(TME)和胸腔镜肺叶切除术(TSL)。这种手术的优势在于,无论哪一侧的肺癌患者都能完成根治性食管切除术,而且通过缩短不同肺通气时间和避免开胸手术,还能保留呼吸功能:结论:在技术精湛的医院,这种手术是食管和肺同步双癌的良好治疗选择。
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Simultaneous transmediastinal esophagectomy and thoracoscopic lobectomy for synchronous double cancers of the esophagus and lung: a case report.

Background: Simultaneous surgery for synchronous double cancers of the esophagus and lung is so invasive that minimally invasive surgical procedures are preferred. For left lung cancer, there are few reports on simultaneous surgery due to the difficulty of performing radical esophagectomy only via the left thoracic approach and the high invasiveness of bilateral thoracotomy.

Case presentation: A 65-year-old man who was diagnosed with synchronous double cancer of the esophagus and left lung underwent transmediastinal esophagectomy (TME) and thoracoscopic lobectomy (TSL) simultaneously. This procedure is advantageous because radical esophagectomy can be completed regardless of the side affected by the lung cancer, and respiratory function can be preserved by shortening the duration of differential lung ventilation and avoiding thoracotomy.

Conclusion: This surgery could be a good treatment option for synchronous double cancers of the esophagus and lung in a highly proficient hospital.

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