Banks Kian C, Hsu Diana S, Velotta Jeffrey B
Department of Thoracic Surgery, Kaiser Permanente Northern California, Oakland, CA 94611, USA.
Department of Surgery, UCSF East Bay, Oakland, CA 94602, USA.
Cancers (Basel). 2022 Jul 28;14(15):3667. doi: 10.3390/cancers14153667.
With the evolution of minimally invasive esophagectomy (MIE) and robot-assisted minimally invasive esophagectomy (RAMIE), questions remain regarding the benefits and indications of these methods. Given that set indications do not exist, this article aims first to review the reported outcomes of MIE, RAMIE, and open esophagectomy. Then, considerations based on the reported outcomes are discussed to guide surgeons in selecting the best approach. MIE and RAMIE offer the potential to improve outcomes for esophagectomy patients; however, surgeon experience as well as individual patient factors play important roles when deciding upon the surgical approach.
随着微创食管切除术(MIE)和机器人辅助微创食管切除术(RAMIE)的发展,关于这些方法的益处和适应症仍存在疑问。鉴于尚无既定的适应症,本文旨在首先回顾已报道的MIE、RAMIE和开放食管切除术的结果。然后,根据已报道的结果进行考量,以指导外科医生选择最佳手术方式。MIE和RAMIE有改善食管切除术患者预后的潜力;然而,在决定手术方式时,外科医生的经验以及患者的个体因素起着重要作用。