Depypere Lieven, Coosemans Willy, Nafteux Philippe, Van Veer Hans, Neyrinck Arne, Coppens Steve, Boelens Chantal, Laes Kristel, Lerut Toni
Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.
Department of Anaesthesiology, University Hospitals Leuven, Leuven, Belgium.
J Vis Surg. 2017 Mar 17;3:30. doi: 10.21037/jovs.2017.01.02. eCollection 2017.
Surgical esophageal cancer treatment has, like other solid organ cancer treatments, evolved from a monospeciality treatment towards a multidisciplinary treatment. In an increasing number of centers around the world minimally invasive esophagectomy (MIE) is now proposed as the preferred surgical approach although there is still a place for open surgery in selected cases. Careful assessment of oncologic and medical operability and adequate pre-operative preparation are the first and foremost important steps to guarantee optimal oncological and functional results. This article serves as a practical guide to MIE for esophageal cancer with figures, equipment preference cards and videos explaining and illustrating a MIE procedure in prone position as one example of the present state of the art. Some future perspectives will also be discussed.
与其他实体器官癌症治疗一样，食管癌的外科治疗已从单一专科治疗发展为多学科治疗。目前，世界上越来越多的中心建议将微创食管切除术（MIE）作为首选的手术方法，不过在某些特定病例中开放手术仍有其应用空间。仔细评估肿瘤学和医学上的可操作性以及充分的术前准备是确保获得最佳肿瘤学和功能结果的首要重要步骤。本文作为食管癌MIE的实用指南，配有图片、设备选择卡和视频，以俯卧位MIE手术为例解释和演示了当前的技术水平。还将讨论一些未来的展望。
