Department of Surgery, University of Chicago Pritzker School of Medicine, Chicago, IL 60637, United States.
World J Gastroenterol. 2010 Aug 14;16(30):3811-5. doi: 10.3748/wjg.v16.i30.3811.
Esophageal resection is associated with a high morbidity and mortality rate. Minimally invasive esophagectomy (MIE) might theoretically decrease this rate. We reviewed the current literature on MIE, with a focus on the available techniques, outcomes and comparison with open surgery. This review shows that the available literature on MIE is still crowded with heterogeneous studies with different techniques. There are no controlled and randomized trials, and the few retrospective comparative cohort studies are limited by small numbers of patients and biased by historical controls of open surgery. Based on the available literature, there is no evidence that MIE brings clear benefits compared to conventional esophagectomy. Increasing experience and the report of larger series might change this scenario.
食管切除术与高发病率和死亡率相关。微创食管切除术（MIE）可能从理论上降低这一比率。我们对 MIE 的现有文献进行了回顾，重点关注现有技术、结果以及与开放手术的比较。这一综述表明，MIE 的现有文献仍然充斥着不同技术的异质性研究。没有对照和随机试验，少数回顾性队列比较研究也受到开放手术历史对照的影响，存在偏倚。基于现有文献，没有证据表明 MIE 与传统的食管切除术相比有明显的优势。随着经验的增加和更大系列的报告，这种情况可能会改变。
