Shichinohe Toshiaki, Hirano Satoshi, Kondo Satoshi
Surgical Oncology, Hokkaido University Graduate School of Medicine, Kita-15, Nishi-7, Kita-ku, Sapporo 060-8638, Japan.
Surg Today. 2008;38(3):206-13. doi: 10.1007/s00595-007-3606-5. Epub 2008 Feb 29.
Video-assisted surgery for esophageal cancer is an advanced surgical technique. It has been developed on the basis of the concept of minimally invasive surgery. Given that there are several options regarding the operative procedures for thoracic esophageal cancer, several laparoscopic approaches have been proposed. The first video-assisted thoracoscopic esophagectomy through a right thoracoscopic approach and the first transhiatal esophagectomy were reported in the early 1990s. A mediastinoscope-assisted esophagectomy has also been reported as a substitute for a blunt dissection of the esophagus. Moreover, a video-assisted Ivor-Lewis esophagectomy by right thoracotomy with intrathoracic anastomosis has also been performed. Furthermore, laparoscopic gastric mobilization and gastroplasty are also widely accepted substitutions for open laparotomy. This article reviews the literature on the laparoscopic approaches for esophageal cancer.
食管癌的电视辅助手术是一种先进的外科技术。它是在微创手术概念的基础上发展起来的。鉴于胸段食管癌的手术方式有多种选择，人们提出了几种腹腔镜手术方法。20世纪90年代初报道了首例经右胸腹腔镜入路的电视辅助胸腔镜食管切除术和首例经裂孔食管切除术。也有报道称纵隔镜辅助食管切除术可替代食管钝性分离术。此外，还开展了经右胸切口行胸腔内吻合的电视辅助艾弗-刘易斯食管切除术。此外，腹腔镜下胃游离术和胃成形术也被广泛接受，可替代开放剖腹手术。本文综述了有关食管癌腹腔镜手术方法的文献。
