Abstract: Objective To explore the feasibility of minimally invasive surgical treatment via introversive path with the combination of laparoscope and mediastinoscope for thoracic segment of esophageal cancer with severe respiratory dysfunction. Methods In this study， 19 cases with esophageal cancer received the transhiatal thoracic segment with the combination of laparoscope and mediastinoscope from January 2013 to October 2014 in our hospital. The operation indices and postoperative recovery were analyzed.
ResultsAll operations were successful without perioperation mortality. The mean operative time was（149.5±30.3） min. The mean blood loss was（100.0±52.7） ml. The mean number of removed lymph nodes was 13.5±2.5. The mean hospitalization was（9.8±3.5） days. Conclusion Introversive path is technically feasible and safe for the treatment of thoracic segment of esophageal cancer with severe respiratory dysfunction by combination of laparoscope and mediastinoscope.