胸部食道癌に対する縦隔鏡下食道切除術
書誌事項
- タイトル別名
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- MEDIASTINOSCOPE-ASSISTED TRANSHIATAL ESOPHAGECTOMY (MATHE) FOR PATIENTS WITH CARCINOMA OF THE ESOPHAGUS
説明
Transthoracic esophagectomy (TTE) with lymphadenectomy has improved the survival ofpatients with esophageal cancer. The morbidity and mortality associated with TTE is substantial, despite improvements in perioperative support, including anesthesia and postoperative intensive care. Transhiatal esophagectomy (THE) is less invasive than TTE, avoiding the need for a thoracotomy appears to reduce the incidence of major pulmonary complications, because of shorter operating time, and is able to indicate to elder and patients with many complications, but its blind manipulation has made many complication like hemorrhage and injury of mediastinal organs. Lymph node dissection is not feasible. The use of a mediastinoscope allows clear visualization of the mediastinal structures. Lymph node sampling, which provides pathological staging information, is also feasible under direct visualization of the mediastinum. It is easy to convert MATHE to TTE with en bloc lymphadenectomy, if the sampled lymph nodes show metastasis. Radicality can be achieved by dissecting lymph nodes even in the narrow mediastinum under direct vision with new devices and technology.
収録刊行物
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- 頭頸部腫瘍
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頭頸部腫瘍 28 (3), 563-567, 2002
日本頭頸部癌学会
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詳細情報 詳細情報について
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- CRID
- 1390001204727953664
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- NII論文ID
- 130004166865
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- ISSN
- 18839878
- 09114335
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- 抄録ライセンスフラグ
- 使用不可
