Feasibility of Inflatable Mediastinoscopy Combined with Laparoscopic Esophagectomy in Esophageal Cancer Patients with Pulmonary Dysfunction
TIAN Zhiqiang
LIU Jizhao
QIAO Menghan
FENG Shaokang
LI Xiaobing
Abstract：Objective To explore the safety and feasibility of inflatable video-assisted mediastinoscopic transhiatal esophagectomy(IVMTE)in patients with esophageal cancer and pulmonary dysfunction.Methods A retrospective analysis was conducted on 53 patients with pulmonary dysfunction who underwent IVMTE by the same surgical team in our hospital from July 2021 to September 2023.The perioperative complication rates,including pulmonary infection,hoarseness,number of lymph nodes dissected,operation time,intraoperative bleeding,and anastomotic leakage,were observed.Results All patients successfully completed the surgery,with average surgery time of 229.8±42.7 minutes and average blood loss of 70.5±34.4 mL.The average number of dissected lymph nodes was 20.4±4.2.The average postoperative hospital stay was 13.5±5.5 days,and the average ICU stay was 1.3±1.0 days.3 cases(5.66%)experienced cervical anastomotic leakage,5 cases(9.43%)developed postoperative pneumonia,and 13 cases(24.53%)had hoarseness.The R0 resection rate was 100%.There is no perioperative mortality.Conclusion IVMTE is safe and feasible for the treatment of patients with esophageal cancer and pulmonary dysfunction.It does not increase the risk of perioperative complications and reduces the requirements related to pulmonary function.
Keywords：mediastinoscopicesophagectomypostoperative complicationspulmonary function
Publication Date：2025-06-25
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：5( 106-110 )