Objective To explore the feasibility of minimally invasive surgical treatment via introversive path with the combi⁃nation 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 mediasti⁃noscope from January 2013 to October 2014 in our hospital. The operation indices and postoperative recovery were analyzed. Results All 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 re⁃spiratory dysfunction by combination of laparoscope and mediastinoscope.%目的：探讨食管内翻路径微创手术治疗伴重度呼吸功能障碍胸段食管癌的可行性。方法2013年1月至2014年10月，我科采用腹腔镜联合纵隔镜食管内翻路径微创手术治疗19例胸段食管癌，分析手术指标及术后恢复情况。结果所有患者顺利完成手术，无围术期死亡病例，手术时间为（149�5±30�3）min，术中出血为（100�0±52�7）ml，清扫淋巴结数为（13�5±2�5）枚，住院时间为（9�8±3�5）天。结论腹腔镜联合纵隔镜内翻路径微创手术治疗伴重度呼吸功能障碍胸段食管癌安全、可行。
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