Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Ann Surg Oncol. 2024 Oct;31(10):6716-6717. doi: 10.1245/s10434-024-16007-z. Epub 2024 Aug 6.
Ivor-Lewis (IL) operation, esophagectomy and intrathoracic esophagogastrostomy and McKeown (MK) operation, esophagectomy, and cervical esophagogastrostomy are the most common procedures for esophageal cancer. The authors reported that the oncological outcomes and completeness of upper mediastinal dissection among esophageal squamous cell carcinoma patients undergoing the IL or MK operations were not different in previous paper. Whether the IL procedure can show equivalent oncologic outcomes as compared to the MK procedure in cases of upper esophageal cancer needs to be further studied in the future. In addition, a comparison of the functional outcomes and quality of life between patients who had undergone the IL and MK operations needs to be explored.
Ivor-Lewis（IL）手术、食管切除术和胸内食管胃吻合术，以及 McKeown（MK）手术、食管切除术和颈段食管胃吻合术是治疗食管癌最常见的手术方式。作者在之前的研究中报告，接受 IL 或 MK 手术的食管鳞癌患者的肿瘤学结果和中上纵隔清扫的完整性并无差异。在治疗上段食管癌时，IL 手术能否与 MK 手术取得相同的肿瘤学结果，还需要进一步研究。此外，还需要对接受 IL 和 MK 手术的患者的功能结局和生活质量进行比较。
