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开放与微创食管切除术:哪种方法最佳?微创食管切除术。

Open versus minimally invasive esophagectomy: what is the best approach? Minimally invasive esophagectomy.

机构信息

Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.

出版信息

J Gastrointest Surg. 2011 Sep;15(9):1503-5. doi: 10.1007/s11605-011-1558-y. Epub 2011 May 20.

DOI:10.1007/s11605-011-1558-y
PMID:21597883
Abstract

INTRODUCTION

Esophageal cancer is a complex disease that is typically discovered at a late stage and is associated with a poor overall survival rate.

DISCUSSION

Regardless of surgical approach, esophagectomy carries a significant morbidity and mortality. The surgeon should choose the surgical approach based on her comfort level, training and experience. Further investigation is required to evaluate the translatability of minimally invasive esophagectomy on a large scale.

摘要

简介

食管癌是一种复杂的疾病,通常在晚期才被发现,总体生存率较差。

讨论

无论采用哪种手术方法,食管切除术都有很高的发病率和死亡率。外科医生应根据自己的舒适程度、培训和经验选择手术方法。需要进一步研究来评估微创食管切除术在大规模上的可转移性。

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Meta-analysis shows clinically relevant and long-lasting deterioration in health-related quality of life after esophageal cancer surgery.

本文引用的文献

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Minimally invasive versus open esophagectomy: meta-analysis of outcomes.微创与开放食管切除术的比较:结局的荟萃分析。
Dig Dis Sci. 2010 Nov;55(11):3031-40. doi: 10.1007/s10620-010-1153-1. Epub 2010 Feb 26.
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Trends in the management of esophageal carcinoma based on provider volume: treatment practices of 618 esophageal surgeons.基于术者手术量的食管癌治疗趋势:618 位食管外科医生的治疗实践。
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Minimally invasive surgery compared to open procedures in esophagectomy for cancer: a systematic review of the literature.
荟萃分析显示,食管癌手术后健康相关生活质量出现临床相关且持久的恶化。
Qual Life Res. 2014 May;23(4):1155-76. doi: 10.1007/s11136-013-0576-5. Epub 2013 Dec 3.
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Does minimally invasive esophagectomy (MIE) provide for comparable oncologic outcomes to open techniques? A systematic review.微创食管切除术(MIE)是否能提供与开放技术相当的肿瘤学结果?一项系统评价。
J Gastrointest Surg. 2012 Mar;16(3):486-94. doi: 10.1007/s11605-011-1792-3. Epub 2011 Dec 20.
食管癌切除术微创与开放手术对比:文献系统综述
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Minimally invasive versus open esophagectomy for cancer: a systematic review and meta-analysis.微创与开放食管癌切除术治疗癌症的系统评价与荟萃分析。
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Extended transthoracic resection compared with limited transhiatal resection for adenocarcinoma of the mid/distal esophagus: five-year survival of a randomized clinical trial.与有限经裂孔切除术相比,扩大经胸段切除术治疗中/远端食管癌的随机临床试验五年生存率
Ann Surg. 2007 Dec;246(6):992-1000; discussion 1000-1. doi: 10.1097/SLA.0b013e31815c4037.
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Minimally invasive esophagectomy: outcomes in 222 patients.微创食管切除术:222例患者的治疗结果
Ann Surg. 2003 Oct;238(4):486-94; discussion 494-5. doi: 10.1097/01.sla.0000089858.40725.68.
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Extended transthoracic resection compared with limited transhiatal resection for adenocarcinoma of the esophagus.食管腺癌扩大经胸切除术与有限经裂孔切除术的比较
N Engl J Med. 2002 Nov 21;347(21):1662-9. doi: 10.1056/NEJMoa022343.
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Comparison of minimally invasive esophagectomy with transthoracic and transhiatal esophagectomy.微创食管切除术与经胸及经裂孔食管切除术的比较。
Arch Surg. 2000 Aug;135(8):920-5. doi: 10.1001/archsurg.135.8.920.
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Laparoscopic transhiatal esophagectomy with esophagogastroplasty.腹腔镜经裂孔食管切除术并食管胃成形术
Surg Laparosc Endosc. 1995 Feb;5(1):1-5.