Left Upper Mediastinal Lymph Nodes Dissection during Minimally Invasive Esophagectomy

식도암 최소 침습 수술 시 좌측 종격동 림프절 절제술

  • Lee, Kyo-Seon (Department of Thoracic and Cardiovascular Surgery, Chonnam National University Medical School) ;
  • Jeong, In-Seok (Department of Thoracic and Cardiovascular Surgery, Chonnam National University Medical School) ;
  • Ryu, Sang-Woo (Department of Thoracic and Cardiovascular Surgery, Chonnam National University Medical School) ;
  • Song, Sang-Yun (Department of Thoracic and Cardiovascular Surgery, Hwasoon Chonnam National University Medical School) ;
  • Na, Kook-Joo (Department of Thoracic and Cardiovascular Surgery, Chonnam National University Medical School)
  • 이교선 (전남대학교병원 흉부외과) ;
  • 정인석 (전남대학교병원 흉부외과) ;
  • 류상우 (전남대학교병원 흉부외과) ;
  • 송상윤 (화순전남대학교병원 흉부외과) ;
  • 나국주 (전남대학교병원 흉부외과)
  • Published : 2007.03.05

Abstract

Mediastinal lymph node dissection is a method that increases the long term survival of patients with an esophageal carcinoma. However, dissection of the left mediastinal lymph node is almost impossible, as it is not easy to see. Herein, a left mediastinal lymph node dissection, with thoracoscopy through a cervical incision wound during minimal invasive esophageal surgery, is reported.

식도암 수술 시 종격동 림프절 절제는 식도암의 재발과 관련하여 환자의 장기 생존율을 높이는 하나의 방법이다. 하지만 좌측 종격동 림프절 절제는 수술 시야의 제한으로 인해 절제가 거의 불가능하다. 이에 본원에서는 식도암 최소 침습 수술 시 경부 절개창을 통하여 흉강경을 이용한 좌측 종격동 림프절 절제를 시행하였기에 보고하는 바이다.

Keywords

References

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