Dieter R A
Department of Surgery, Glen Ellyn Clinic, Illinois 60137, USA.
Int Surg. 1997 Apr-Jun;82(2):119-22.
Thoracoscopic surgery has been utilized for both esophageal benign lesions and malignant lesions. Resection of submucosal and mural benign lesions, as well as Heller Myotomy, are prime indications for the procedure. Resection of or staging procedures have been performed by various centers around the world for esophageal carcinoma. Resection of epiphrenic diverticula and performance of antireflux endoscopic surgical procedures are indications for the VATS procedure. Transthoracic thoracoscopic vagectomy has been performed for a number of years. Avoidance of perforation of the esophageal mucosa and subsequent leakage are prime concerns of thoracoscopic video assisted surgery on the esophagus.
胸腔镜手术已被用于治疗食管良性病变和恶性病变。切除黏膜下和壁层良性病变以及Heller肌切开术是该手术的主要适应证。世界各地的多个中心已开展了食管癌的切除或分期手术。切除膈上憩室和进行抗反流内镜手术是电视辅助胸腔镜手术（VATS）的适应证。经胸胸腔镜迷走神经切除术已开展多年。避免食管黏膜穿孔及随后的渗漏是食管胸腔镜视频辅助手术的主要关注点。
