Department of Surgery, Division of Cardiothoracic Surgery, New York Presbyterian Hospital, New York, New York 10032, USA.
Ann Thorac Surg. 2011 Jan;91(1):314-6. doi: 10.1016/j.athoracsur.2010.02.115.
Minimally invasive esophagectomy (MIE) is gradually gaining acceptance as an oncological sound procedure. The advantages of MIE arise from avoidance of a thoracotomy or laparotomy, resulting in decreased pulmonary morbidity and generally a faster recovery, yet not compromising the surgical benefit of esophagectomy in patients with cancer of the esophagus. No single technique of esophagectomy has proven itself superior to another from either an oncologic or survival perspective. The MIE is a technically demanding procedure that requires advanced endoscopic skills, especially when performing an intrathoracic anastomosis. We present an alternative intrathoracic anastomotic technique to the commonly performed EEA anastomosis.
微创食管切除术(MIE)逐渐被接受为一种具有良好肿瘤学效果的手术方法。MIE 的优势在于避免开胸或剖腹手术,从而降低肺部发病率,通常恢复更快,但不会影响食管癌患者的手术获益。从肿瘤学或生存角度来看,没有一种食管切除术技术被证明优于另一种技术。MIE 是一种技术要求很高的手术,需要先进的内镜技能,尤其是在进行胸腔内吻合时。我们提出了一种与常用的 EEA 吻合术不同的胸腔内吻合技术。