Collard J M
Louvain Medical School, Brussels, Belgium.
Ann Chir Gynaecol. 1995;84(2):209-14.
The author analyses the pros and cons of the so-called minimally invasive oesophageal surgery for cancer, in the light of his own experience and the major studies reported in the surgical literature and recent congresses. He concludes that, although radical oesophagectomies are feasible on selected patients, a major oesophageal operation carried out through small parietal incisions remains an invasive procedure owing to the magnitude of the internal dissection and the relatively poor general condition of the patients. In contradistinction, both exploratory thoracoscopy and laparoscopy are very attractive alternatives to the classic tools of diagnosis and staging.
作者根据自身经验以及外科文献和近期大会上报道的主要研究，分析了所谓的食管癌微创外科手术的利弊。他得出结论，尽管根治性食管切除术对部分患者可行，但由于内部解剖范围大以及患者一般状况相对较差，通过小的胸壁切口进行的大型食管手术仍是一种侵入性手术。相比之下，探索性胸腔镜检查和腹腔镜检查都是经典诊断和分期工具非常有吸引力的替代方法。
