Knickerbocker Chase, Andreoni Anthony, Nieber Derek, Nwafor Deborah, Ben-David Kfir
1 Comprehensive Cancer Center, Mount Sinai Medical Center, Miami Beach, Florida.
2 Dr Kiran C Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, Florida.
J Laparoendosc Adv Surg Tech A. 2019 Apr;29(4):513-518. doi: 10.1089/lap.2018.0718. Epub 2019 Mar 5.
Esophagectomies are a notoriously difficult procedure that have undergone drastic changes over the last decade. In particular, the adoption of minimally invasive esophagectomies (MIEs) as the gold standard.
We examine the evolution of the MIE, the support for this method, and our preferred methods for the creation of anastomoses following the resection.
The submission of techniques that, after many years of practice, have become our standard methods for anastomosing the Neo-esophagus to the remnant esophagus both at the neck, and within the thorax.
No matter which MIE technique is chosen, these anastomotic methods are readily available. Each is provided with step-by-step instructions, performed with standard laparoscopic instruments, and in a safe and reproducible manner.
食管切除术是一项出了名的复杂手术，在过去十年中经历了巨大变化。特别是，微创食管切除术（MIE）已成为金标准。
我们研究了MIE的发展、对该方法的支持，以及切除术后创建吻合口的首选方法。
经过多年实践，提交了一些技术，这些技术已成为我们在颈部和胸腔内将新食管与残余食管进行吻合的标准方法。
无论选择哪种MIE技术，这些吻合方法都很容易获得。每种方法都配有分步说明，使用标准腹腔镜器械进行，且方式安全且可重复。
