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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.

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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