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治疗食管癌的微创外科手术方法选择。

Selection of minimally invasive surgical approaches for treating esophageal cancer.

机构信息

Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.

出版信息

Thorac Cancer. 2022 Aug;13(15):2100-2105. doi: 10.1111/1759-7714.14533. Epub 2022 Jun 15.

DOI:10.1111/1759-7714.14533
PMID:35702945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9346190/
Abstract

Minimally invasive esophagectomy has gradually been accepted as an active treatment option for surgery of esophageal cancer. However, there is no consensus about how to perform the procedures in the thoracic and abdominal phase including anastomosis in the neck (McKeown) or chest (Ivor Lewis), VATS, robotic-assisted or reduced port approaches or various endoscopic abrasion techniques. Further studies to investigate the roles of these novel techniques are required to treat the various patient populations.

摘要

微创食管切除术已逐渐被接受为食管癌手术的积极治疗选择。然而，在胸、腹阶段（包括颈部（McKeown）或胸部（Ivor Lewis）吻合）、VATS、机器人辅助或减少端口方法或各种内镜磨蚀技术的手术程序如何进行，尚未达成共识。需要进一步研究这些新技术的作用，以治疗各种患者人群。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d264/9346190/1f2e8dd042bb/TCA-13-2100-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d264/9346190/e4b30139e214/TCA-13-2100-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d264/9346190/dd0e2d733cc6/TCA-13-2100-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d264/9346190/91174034a0a5/TCA-13-2100-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d264/9346190/1f2e8dd042bb/TCA-13-2100-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d264/9346190/e4b30139e214/TCA-13-2100-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d264/9346190/dd0e2d733cc6/TCA-13-2100-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d264/9346190/91174034a0a5/TCA-13-2100-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d264/9346190/1f2e8dd042bb/TCA-13-2100-g005.jpg

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McKeown or Ivor Lewis minimally invasive esophagectomy: a systematic review and meta-analysis.麦基翁或艾弗·刘易斯微创食管切除术：一项系统评价与荟萃分析。
Transl Cancer Res. 2020 Mar;9(3):1518-1527. doi: 10.21037/tcr.2020.01.45.
2
Robot-assisted minimally invasive thoraco-laparoscopic esophagectomy versus minimally invasive esophagectomy for resectable esophageal adenocarcinoma, a randomized controlled trial (ROBOT-2 trial).机器人辅助微创胸腹腔镜食管切除术与微创食管切除术治疗可切除食管腺癌的随机对照试验（ROBOT-2 试验）。
BMC Cancer. 2021 Sep 26;21(1):1060. doi: 10.1186/s12885-021-08780-x.
3
Comparative study on short-term efficacy of single incision plus one (SI+1) port and multiportal 3D laparoscopic minimally invasive esophagectomy.
单孔与多孔电视辅助胸腔镜食管切除术的比较：一项倾向评分匹配研究。
J Thorac Dis. 2025 Mar 31;17(3):1626-1635. doi: 10.21037/jtd-2025-196. Epub 2025 Mar 27.
4
Artificial intelligence for intraoperative video analysis in robotic-assisted esophagectomy.用于机器人辅助食管切除术术中视频分析的人工智能
Surg Endosc. 2025 May;39(5):2774-2783. doi: 10.1007/s00464-025-11685-6. Epub 2025 Mar 31.
5
Telestration with augmented reality improves the performance of the first ten ex vivo porcine laparoscopic cholecystectomies: a randomized controlled study.增强现实技术下的手术描记术提高了前 10 例离体猪腹腔镜胆囊切除术的手术效果：一项随机对照研究。
Surg Endosc. 2023 Oct;37(10):7839-7848. doi: 10.1007/s00464-023-10360-y. Epub 2023 Aug 23.
6
Novel Mediastinoscope-Assisted Minimally Invasive Esophagectomy for Esophageal Cancer: A Systematic Review and Meta-analysis.新型胸腔镜辅助微创食管癌切除术治疗食管癌：系统评价和荟萃分析。
Ann Surg Oncol. 2023 Jul;30(7):4030-4039. doi: 10.1245/s10434-023-13264-2. Epub 2023 Feb 23.
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J Gastrointest Oncol. 2021 Aug;12(4):1277-1284. doi: 10.21037/jgo-21-441.
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