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微创手术在食管癌治疗中的应用:迈向更好治疗效果的一步?

The Implementation of Minimally Invasive Surgery in the Treatment of Esophageal Cancer: A Step Toward Better Outcomes?

作者信息

Triantafyllou Tania, van der Sluis Pieter, Skipworth Richard, Wijnhoven Bas P L

机构信息

Upper Gastrointestinal Surgical Unit, Royal Infirmary of Edinburgh, Edinburgh, UK.

Upper Gastrointestinal Department of Surgery, Erasmus MC, Rotterdam, The Netherlands.

出版信息

Oncol Ther. 2022 Dec;10(2):337-349. doi: 10.1007/s40487-022-00206-3. Epub 2022 Aug 10.

DOI:10.1007/s40487-022-00206-3
PMID:35945401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9681954/
Abstract

Esophagectomy is considered the cornerstone of the radical treatment of esophageal cancer. In the past decades, minimally invasive techniques including robot-assisted approaches have become popular. The aim of minimally invasive surgery is to reduce the surgical trauma, resulting in faster recovery, reduction in complications, and better quality of life after surgery. Secondly, a more precise dissection may lead to better oncological outcomes. As such, minimally invasive esophagectomy is now seen by many as the standard surgical approach. However, evidence supporting this viewpoint is limited. This narrative review summarizes recent prospectively designed studies on minimally invasive esophagectomy.

摘要

食管切除术被认为是食管癌根治性治疗的基石。在过去几十年中,包括机器人辅助手术在内的微创技术已变得流行起来。微创手术的目的是减少手术创伤,从而实现更快的康复、减少并发症并提高术后生活质量。其次,更精确的解剖可能带来更好的肿瘤学结局。因此,现在许多人将微创食管切除术视为标准的手术方法。然而,支持这一观点的证据有限。本叙述性综述总结了近期关于微创食管切除术的前瞻性设计研究。

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The Implementation of Minimally Invasive Surgery in the Treatment of Esophageal Cancer: A Step Toward Better Outcomes?微创手术在食管癌治疗中的应用:迈向更好治疗效果的一步?
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本文引用的文献

1
McKeown esophagectomy: robot-assisted versus conventional minimally invasive technique-systematic review and meta-analysis.麦克基翁食管切除术:机器人辅助与传统微创技术的比较——系统评价和荟萃分析。
Dis Esophagus. 2022 Oct 14;35(10). doi: 10.1093/dote/doac011.
2
The influence of anastomotic techniques on postoperative anastomotic complications: Results of the Oesophago-Gastric Anastomosis Audit.吻合技术对术后吻合口并发症的影响:食管胃吻合口吻合术质量评估研究结果。
J Thorac Cardiovasc Surg. 2022 Sep;164(3):674-684.e5. doi: 10.1016/j.jtcvs.2022.01.033. Epub 2022 Feb 3.
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Robot-assisted minimally invasive esophagectomy versus video-assisted minimally invasive esophagectomy: a systematic review and meta-analysis.机器人辅助微创食管切除术与电视辅助微创食管切除术:一项系统评价和荟萃分析。
Transl Cancer Res. 2021 Nov;10(11):4601-4616. doi: 10.21037/tcr-21-1482.
4
Outcomes after totally minimally invasive versus hybrid and open Ivor Lewis oesophagectomy: results from the International Esodata Study Group.完全微创与杂交及开放 Ivor Lewis 食管切除术的结果:国际 Esodata 研究组的结果。
Br J Surg. 2022 Feb 24;109(3):283-290. doi: 10.1093/bjs/znab432.
5
Learning curves in minimally invasive esophagectomy: A systematic review and evaluation of benchmarking parameters.微创食管切除术的学习曲线:基准参数的系统评价与评估
Surgery. 2022 May;171(5):1247-1256. doi: 10.1016/j.surg.2021.10.050. Epub 2021 Nov 28.
6
Outcomes of robotic esophagectomy.机器人辅助食管切除术的结果
J Thorac Dis. 2021 Oct;13(10):6163-6168. doi: 10.21037/jtd-2019-rts-07.
7
Lasting symptoms and long-term health-related quality of life after totally minimally invasive, hybrid and open Ivor Lewis esophagectomy.完全微创、杂交和开放 Ivor Lewis 食管切除术治疗后的持续症状和长期健康相关生活质量。
Eur J Surg Oncol. 2022 Mar;48(3):582-588. doi: 10.1016/j.ejso.2021.10.023. Epub 2021 Nov 3.
8
Laparoscopic Versus Open Gastrectomy for Gastric Cancer (LOGICA): A Multicenter Randomized Clinical Trial.腹腔镜与开腹胃癌根治术(LOGICA):多中心随机临床试验。
J Clin Oncol. 2021 Mar 20;39(9):978-989. doi: 10.1200/JCO.20.01540. Epub 2021 Jan 6.
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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.
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Patient-Related Prognostic Factors for Anastomotic Leakage, Major Complications, and Short-Term Mortality Following Esophagectomy for Cancer: A Systematic Review and Meta-Analyses.患者相关的预后因素对吻合口漏、主要并发症和短期死亡率的影响:食管癌切除术的系统评价和荟萃分析。
Ann Surg Oncol. 2022 Feb;29(2):1358-1373. doi: 10.1245/s10434-021-10734-3. Epub 2021 Sep 5.