微创时代膈上憩室的外科治疗
Surgical management of epiphrenic diverticula in the minimally invasive era.
作者信息
Kilic Arman, Schuchert Matthew J, Awais Omar, Luketich James D, Landreneau Rodney J
机构信息
Heart, Lung, and Esophageal Surgery Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
出版信息
JSLS. 2009 Apr-Jun;13(2):160-4.
BACKGROUND
Epiphrenic diverticula are rare outpouchings of the distal esophagus that infrequently require surgical intervention for the treatment of symptoms. In cases where surgical therapy is indicated, the traditional approach is through a thoracotomy. Advances in minimally invasive techniques have led to thoracoscopic and more recently laparoscopic management of epiphrenic diverticula. The purpose of this article is to review the literature on minimally invasive surgery for epiphrenic diverticula with particular attention to the operative approach and technique, surgical mortality and morbidity, and symptomatic outcomes.
METHODS
A review of the literature limited to studies in the English language and performed on humans was conducted on PubMed using the following key words: "esophageal diverticula" and "epiphrenic". Articles retrieved by the PubMed search were reviewed.
CONCLUSIONS
A minimally invasive approach to epiphrenic diverticula offers reduced operative mortality, decreased length of stay, and similar symptom relief compared with open surgery in the hands of experienced laparoscopic surgeons.
背景
膈上憩室是远端食管的罕见憩室，很少需要手术干预来治疗症状。在需要手术治疗的情况下，传统方法是开胸手术。微创技术的进步已导致采用胸腔镜以及最近的腹腔镜治疗膈上憩室。本文的目的是回顾关于膈上憩室微创手术的文献，特别关注手术入路和技术、手术死亡率和发病率以及症状改善情况。
方法
在PubMed上使用以下关键词对仅限于英文且针对人类的研究进行文献回顾：“食管憩室”和“膈上”。对PubMed搜索检索到的文章进行了回顾。
结论
在经验丰富的腹腔镜外科医生手中，与开放手术相比，膈上憩室的微创方法可降低手术死亡率、缩短住院时间并能获得相似的症状缓解效果。
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