胸段食管癌喉返神经旁淋巴结清扫的技术要点与相关并发
症的防治
毛友生;赫捷;高树庚;薛奇;袁立功;赵越;丁宁宁
【期刊名称】《中华肿瘤杂志》 【年(卷),期】2019(041)001
【摘要】食管癌是我国高发肿瘤之一,淋巴结转移是影响食管癌预后的的最重要因素之一.胸腹二野食管癌引流区各站淋巴结完全清扫是改善食管癌患者预后的重要措施,也是进行准确术后病理分期和制定术后治疗方案的基础.由于喉返神经旁淋巴结尤其右侧后返神经旁淋巴结是胸段食管癌转移率最高的区域,因此,双侧喉返神经旁淋巴结清扫是食管癌胸部淋巴结清扫最重要的步骤.但双侧喉返神经旁淋巴结清扫会导致术后喉返神经损伤及肺部并发症增加等系列问题.因此,双侧喉返神经旁淋巴结清扫的得失是胸外科医师关注最多和最为纠结的问题之一,文章就双侧喉返神经旁淋巴结清扫的技术要点和相关并发症的防治进行了总结和评述.%Esophageal cancer is one of the most prevalent cancers in China. Lymph node metastasis is one of the most important prognostic factors and severely affect the long-term survival after surgical treatment. Therefore, systemic two-field lymph node dissection including thoracic and abdominal draining nodes of the esophagus during surgery is essential in order to improve the long-term survival for the patients with thoracic esophageal cancer, and it is also the basis for precise staging and postoperative adjuvant treatment regimen- making. As reported in the literature, lymph node metastases along bilateral recurrent laryngeal
胸段食管癌喉返神经旁淋巴结清扫的技术要点与相关并发症的防治
