Division of Gastrointestinal and Minimally Invasive Surgery, The Oregon Clinic, Portland, OR 97210, USA.
J Gastrointest Surg. 2010 Feb;14 Suppl 1:S108-14. doi: 10.1007/s11605-009-1029-x. Epub 2009 Sep 30.
Minimally invasive esophagectomy has gained popularity over the past two decades. The procedural goal is to decrease the high overall morbidity of a traditional open esophageal resection. The entire spectrum of open esophagectomy techniques has been successfully replicated in a minimally invasive fashion.
Esophagectomy remains one of the most technically challenging operations, and developing the skills necessary for minimal invasive esophagectomy is associated with a steep learning curve. Minimally invasive approaches show most promise for benign disease and select early esophageal cancers, but their role in more advanced cancer remains controversial due to lack of long-term results.
As minimally invasive esophagectomy matures, its true value in both benign and malignant disorders will become better defined.
微创食管切除术在过去二十年中变得越来越流行。该手术的目的是降低传统开放性食管切除术的高总体发病率。整个开放性食管切除术技术都已成功地微创复制。
食管切除术仍然是最具技术挑战性的手术之一，并且开发微创食管切除术所需的技能与陡峭的学习曲线相关。微创方法对良性疾病和选择早期食管癌最有希望，但由于缺乏长期结果，它们在更晚期癌症中的作用仍存在争议。
随着微创食管切除术的成熟，它在良性和恶性疾病中的真正价值将得到更好的定义。
