Mormando Jessica, Barbetta Arianna, Molena Daniela
Division of Thoracic Surgery, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
J Thorac Dis. 2018 Mar;10(3):2026-2033. doi: 10.21037/jtd.2018.01.165.
Esophagectomy for benign disease is uncommonly used but it is an important option to consider in those patients who have lost function of this organ. Esophageal resection is, in fact considered as a last resort for benign disease, after multiple failed conservative treatments, when the primary disease is not amenable to other treatments and the esophagus has become non-functional leading to very poor quality of life. The indications for esophagectomy for benign diseases can be divided into three major categories: obstruction, perforation and dysmotility. The process leading to organ failure and the need for resection for each specific disease will be discussed in an attempt to provide guidance as to when an esophagectomy is appropriate.
良性疾病的食管切除术虽不常用，但对于那些食管功能丧失的患者而言，这是一个值得考虑的重要选择。事实上，食管切除术被视为良性疾病的最后手段，适用于经过多次保守治疗失败、原发疾病无法采用其他治疗方法且食管已失去功能并导致生活质量极差的情况。良性疾病食管切除术的适应证可分为三大类：梗阻、穿孔和动力障碍。本文将探讨导致器官功能衰竭的过程以及每种特定疾病进行切除术的必要性，以期为食管切除术的恰当实施时机提供指导。
