Broussard Brett, Evans John, Wei Benjamin, Cerfolio Robert
Department of Surgery, University of Alabama-Birmingham Medical Center, Birmingham, Alabama, USA.
Division of Cardiothoracic Surgery, University of Alabama-Birmingham Medical Center, Birmingham, Alabama, USA.
J Vis Surg. 2016 Aug 10;2:139. doi: 10.21037/jovs.2016.07.16. eCollection 2016.
Robotic esophagectomy is an increasingly used modality. Patients who are candidates for traditional, open esophagectomy are typically also candidates for robotic esophagectomy. Knowledge of and training on the robotic platform is critical for success. Patient and port positioning is described. Either a hand-sewn or stapled intrathoracic anastomosis may be performed. Minimally invasive esophagectomy (MIE) appears to be associated with decreased respiratory complications versus open esophagectomy. Robotic esophagectomy may be performed with excellent perioperative outcomes, though long-term oncologic data regarding the operation are not yet available.
机器人辅助食管切除术是一种越来越常用的术式。适合传统开放性食管切除术的患者通常也适合机器人辅助食管切除术。熟悉机器人平台并接受相关培训对手术成功至关重要。文中描述了患者和端口的定位。可进行手工缝合或吻合器吻合的胸内吻合。与开放性食管切除术相比，微创食管切除术（MIE）似乎与呼吸并发症减少有关。机器人辅助食管切除术的围手术期效果良好，不过关于该手术的长期肿瘤学数据尚未可得。
