Klinik für Allgemein-, Viszeral und Transplantationschirurgie, Johannes Gutenberg-Universität Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
Langenbecks Arch Surg. 2020 Dec;405(8):1061-1067. doi: 10.1007/s00423-020-02003-w. Epub 2020 Oct 7.
Surgical esophagectomy plays a crucial role in the curative and palliative treatment of esophageal cancer. Thereby, minimally invasive esophagectomy (MIE) is increasingly applied all over the world. Combining minimal invasiveness with improved possibilities for meticulous dissection, robot-assisted minimal invasive esophagectomy (RAMIE) has been implemented in many centers.
This review focuses on the development of MIE as well as RAMIE and their value based on evidence in current literature.
Although MIE and RAMIE are highly complex procedures, they can be performed safely with improved postoperative outcome and equal oncological results compared with open esophagectomy (OE). RAMIE offers additional advantages regarding surgical dissection, lymphadenectomy, and extended indications for advanced tumors.
外科食管切除术在食管癌的根治性和姑息性治疗中起着关键作用。因此，微创食管切除术（MIE）在全球范围内得到了越来越多的应用。机器人辅助微创食管切除术（RAMIE）将微创与精细解剖的改进可能性相结合，已在许多中心实施。
本综述重点介绍 MIE 和 RAMIE 的发展及其在现有文献证据基础上的价值。
尽管 MIE 和 RAMIE 是非常复杂的手术，但与开放性食管切除术（OE）相比，它们可以安全地进行，并且具有改善的术后结果和相同的肿瘤学结果。RAMIE 在手术解剖、淋巴结清扫和晚期肿瘤的扩展适应证方面具有额外的优势。
