Abstract:

ObjectiveTo evaluate the effect and safety of mediastinoscopic and laparoscopic esophagectomy for early stage and superficial esophageal cancer. Methods A total of 21 patients diagnosed with early stage or superficial esophageal cancer from June 2014 to June 2016 were enrolled in this study. Laparoscopy was preceded by breaking the cervical esophagus from the left neck，and the mucosal surface of the cervical esophageal stump was turned inward and affixed to a pushstick. Then，we pushed down and separated the upper thoracic esophagus with mediastinoscopy，as well as mobilized stomach and separated the lower thoracic esophagus with laparoscopy from the diaphragmatic hiatus till the whole esophageal mobilization was completed. Then, we lifted the esophagus and stomach to the neck by pushstick and constructed the esophagogastroanastomosis. Results All patients were recovered and obtained successful results without perioperative death. Postoperative complications included anastomotic leakage in one case，rapid atrial fibrillation in four cases，respiratory infection in one case and hoarseness in one case. Conclusion Mediastinoscopic combined with laparoscopic esophagectomy can be performed safely，effectively for patients with early stage and superficial esophageal cancer.