University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, 200 Lothrop Street, Suite C-800, Pittsburgh, PA 15213, USA.
Department of Surgery, University of Pittsburgh Medical Center- Mercy Hospital, UPMC Mercy, 1400 Locust Street, Pittsburgh, PA 15219, USA.
Thorac Surg Clin. 2020 Aug;30(3):269-277. doi: 10.1016/j.thorsurg.2020.04.010.
Esophageal cancer requires a multimodality treatment approach, with surgical resection a key component in many cases. When it comes to esophagectomy, several approaches and techniques exist, including transhiatal versus transthoracic and open versus minimally invasive. Each approach has its associated risks and advantages. When determining the optimal approach and technique, several variables need to be considered. The key variables include patient and tumor characteristics, as well as surgeon comfort and experience with each approach. Regardless of the approach, the goal should remain the same, that is, performing a safe operation without compromise of oncologic principles.
食管癌需要采用多模态治疗方法，手术切除在许多情况下是关键组成部分。在进行食管切除术时，存在几种入路和技术，包括经胸骨后与经胸、开放与微创。每种入路都有其相关的风险和优势。在确定最佳入路和技术时，需要考虑几个变量。关键变量包括患者和肿瘤特征，以及外科医生对每种入路的舒适度和经验。无论采用哪种入路，目标都应保持不变，即进行安全的手术，而不影响肿瘤学原则。
