de Hoyos Alberto, Litle Virginia R, Luketich James D
Division of Thoracic and Foregut Surgery and the Minimally Invasive Surgery Center, University of Pittsburgh Medical Center, UPMC Presbyterian, Suite C-800, 200 Lothrop Street, Pittsburgh, PA 15213, USA.
Surg Clin North Am. 2005 Jun;85(3):631-47. doi: 10.1016/j.suc.2005.01.003.
Minimally invasive esophagectomy can be safely performed in selected cases in centers specializing in minimally invasive esophageal surgery.Potential benefits include lessened physiologic insult, with decreased hospital stay and a more rapid recovery to full activity. Drawbacks include the cost of the disposable instrumentation and the steep learning curve. As thoracic surgeons continue to acquire expertise with this procedure, improved results may be expected. Prospective trials with longer follow-up will be required to confirm any advantages of MIE over conventional approaches. Open surgical approaches should remain the standard operation for esophagectomy in most institutions.
在专门从事微创食管手术的中心，对于选定的病例可以安全地进行微创食管切除术。潜在的益处包括生理损伤减轻，住院时间缩短以及能更快地完全恢复活动。缺点包括一次性器械的成本以及陡峭的学习曲线。随着胸外科医生继续掌握这一手术的专业技能，有望获得更好的结果。需要进行更长时间随访的前瞻性试验来证实微创食管切除术相对于传统方法的任何优势。在大多数机构中，开放手术方法仍应是食管切除术的标准术式。
