Kent M S, Schuchert M, Fernando H, Luketich J D
The Heart, Lung and Esophageal Surgery Institute, University of Pittsburgh Medical Center, 200 Lothrop Street, Pittsburgh, Pennsylvania 15232, USA.
Dis Esophagus. 2006;19(3):137-45. doi: 10.1111/j.1442-2050.2006.00555.x.
Open esophagectomy is associated with significant mortality and morbidity, even in experienced centers. Two of the more frequent complications following esophagectomy are pneumonia and respiratory failure. Single-institution series have suggested that the incidence of these complications may be decreased with minimally invasive esophagectomy, with equivalent survival compared to open esophagectomy. However, this operation is technically challenging. In this review we detail the procedure as performed in our center, and also discuss some recent developments.
即使在经验丰富的医疗中心，开放食管切除术也伴随着较高的死亡率和发病率。食管切除术后较常见的两种并发症是肺炎和呼吸衰竭。单中心研究表明，微创食管切除术可能会降低这些并发症的发生率，且与开放食管切除术相比生存率相当。然而，该手术在技术上具有挑战性。在本综述中，我们详细介绍了我们中心所开展的手术步骤，并讨论了一些最新进展。
