DeLong Jonathan C, Kelly Kaitlyn J, Jacobsen Garth R, Sandler Bryan J, Horgan Santiago, Bouvet Michael
Department of Surgery, University of California San Diego, San Diego, CA, USA.
J Vis Surg. 2016 Sep 8;2:156. doi: 10.21037/jovs.2016.09.01. eCollection 2016.
Robotic-assisted transhiatal esophagectomy (RATE) is a minimally invasive approach to total esophagectomy with less morbidity but equivalent efficacy when compared with the traditional open approach. The robotic platform offers numerous technical advantages that assist with the esophageal dissection, which allows the procedure to be completed without entry into the thoracic cavity. The major criticism of the transhiatal approach is that it forfeits the ability of the surgeon to perform a formal lymphadenectomy, but this does not appear to affect long-term survival.
机器人辅助经裂孔食管切除术（RATE）是一种用于全食管切除术的微创方法，与传统开放手术相比，其发病率较低，但疗效相当。机器人平台具有许多技术优势，有助于食管解剖，从而使手术无需进入胸腔即可完成。经裂孔手术方法的主要批评意见是，它使外科医生无法进行正规的淋巴结清扫术，但这似乎并不影响长期生存率。
