Buess G, Becker H D
Chirurgische Klinik, Universität Tübingen, Abt. Allgemeinchirurgie, Klinikum Schnarrenberg.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:1355-60.
The endoscopic-microsurgical dissection of the esophagus (EMDE) was developed to reduce the operative risk of resecting tumor-bearing esophagus. Utilizing an operation-mediastinoscope, the esophagus is freed from surrounding tissues in a circular fashion. Blood vessels are coagulated and cut. Under good endoscopic view and minimal blood loss, the esophagus can be freed via a cervical incision and extracted caudally. Up to now the EMDE has been utilized in 7 patients. The intra- and postoperative course was without problems. In the future, we further expect to see a reduction in cardio-pulmonary postoperative complications.
食管内镜显微手术解剖（EMDE）的开发是为了降低切除带瘤食管的手术风险。利用手术纵隔镜，以环形方式将食管从周围组织中游离出来。对血管进行凝固和切断。在内镜视野良好且失血极少的情况下，可通过颈部切口游离食管并向尾端取出。到目前为止，EMDE已应用于7例患者。术中及术后过程均无问题。未来，我们进一步期望看到心肺术后并发症的减少。
