[Study on thoracoabdominal incision for thoracic esophageal carcinoma by rotation position].

OBJECTIVE:To explore the clinical feasibility of thoracoabdominal incision for thoracic esophageal carcinoma by rotation position. METHODS:From January 2004 to December 2007, 126 patients with thoracic esophageal carcinoma performed operation by rotation position. There were 75 males and 51 females aged 46 to 78 years. Tumor was located mid-esophagus in 74 patients, whereas sub-esophagus was present in 52 patients. All patients underwent esophagectomy by rotation position (thoracoabdominal incision). Thoracic and abdominal cavity were exposed well. RESULTS:All operations were completed successful. Anastomotic stoma was located right thorax. The mean number of tow-field lymph node dissection was 25.6. There was no mortality. Postoperative complication include pulmonary complication, incision infection, recurrent laryngeal nerve damage, arrhythmia. The operation time was significantly shortened by rotation position. The number of lymph node dissection was significantly increased. CONCLUSION:The results of this study demonstrated that thoracoabdominal incision for thoracic esophageal carcinoma by rotation position exposes the operation fields clearly and make radical lymphadenectomy thoroughly. Disease-free survival is significantly improved.