Eubanks T R, Pellegrini C A
Department of Surgery, University of Washington School of Medicine, 1959 Northeast Pacific Avenue, Seattle, WA 98195, USA.
Curr Gastroenterol Rep. 1999 Jun;1(3):203-9. doi: 10.1007/s11894-999-0035-1.
Advances in minimally invasive techniques have substantially expanded the role of surgery in the treatment of esophageal disease. In many cases this expansion has made more effective treatment available to a larger number of patients. Gastroesophageal reflux disease, paraesophageal hernias, and achalasia are now routinely treated laparoscopically, and laparoscopy is beginning to be used for total esophagectomy as well. The introduction of this technology has created new controversies and revitalized existing ones in the surgical treatment of esophageal disease. The indications, techniques, and outcomes of videoendoscopic approaches to the esophagus, as well as the controversies surrounding them, are discussed in this review.
微创技术的进步极大地扩展了手术在食管疾病治疗中的作用。在许多情况下，这种扩展使得更多患者能够获得更有效的治疗。胃食管反流病、食管旁疝和贲门失弛缓症现在通常通过腹腔镜进行治疗，而且腹腔镜手术也开始用于全食管切除术。这项技术的引入在食管疾病的外科治疗中引发了新的争议，并使现有的争议重新活跃起来。本文综述讨论了食管视频内镜手术的适应证、技术、结果以及围绕它们的争议。
