Song Shangqi, Shen Cheng, Hu Yang, He Yazhou, Yuan Yong, Xu Yuyang
Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Usher Institute of Population Health Sciences, The University of Edinburgh, Edinburgh EH8 9YL, UK.
Biomedicines. 2023 Oct 11;11(10):2750. doi: 10.3390/biomedicines11102750.
Surgery is a crucial treatment option for patients with resectable esophageal cancer. The emergence of minimally invasive esophageal techniques has led to the popularity of video-assisted thoracoscopic esophagectomy, which has proven to be more advantageous than traditional thoracotomy. However, some patients with esophageal cancer may not benefit from this procedure. Individualized treatment plans may be necessary for patients with varying conditions and tolerances to anesthesia, making conventional surgical methods unsuitable. Inflatable video-assisted mediastinoscopic transhiatal esophagectomy (IVMTE) has emerged as a promising treatment option for esophageal cancer because it does not require one-lung ventilation, reduces postoperative complications, and expands surgical indications. This technique also provides surgical opportunities for patients with impaired pulmonary function or thoracic lesions. It is crucial to have a comprehensive understanding of the advancements and limitations of IVMTE to tailor treatment plans and improve outcomes in patients with esophageal cancer. Understanding the advantages and limitations of this surgical method will help specific patients with esophageal cancer. We conducted a thorough review of the relevant literature to examine the importance of IVMTE for individualized treatment of this disease.
手术是可切除食管癌患者的关键治疗选择。微创食管技术的出现使电视辅助胸腔镜食管切除术广受欢迎，事实证明该手术比传统开胸手术更具优势。然而，一些食管癌患者可能无法从该手术中获益。对于麻醉耐受性不同的患者，可能需要制定个性化的治疗方案，这使得传统手术方法并不适用。充气式电视辅助纵隔镜经裂孔食管切除术（IVMTE）已成为一种有前景的食管癌治疗选择，因为它不需要单肺通气，可减少术后并发症，并扩大了手术适应症。该技术还为肺功能受损或胸部有病变的患者提供了手术机会。全面了解IVMTE的进展和局限性对于制定食管癌患者的治疗方案和改善治疗效果至关重要。了解这种手术方法的优缺点将有助于特定的食管癌患者。我们对相关文献进行了全面综述，以探讨IVMTE在该疾病个体化治疗中的重要性。
