Development and future of the minimally invasive esophagectomy for esophageal cancer
10.7507/1007-4848.201709015
- VernacularTitle:食管癌微创外科手术的现状与思考
- Author:
WANG Wenping
1
;
HE Songlin
1
;
YANG Yushang
1
;
NI Pengzhi
1
;
CHEN Longqi
1
Author Information
1. Department of Thoracic Surgery, West China Hospital of Sichuan University, Chengdu, 610041, P.R.China
- Publication Type:Journal Article
- Keywords:
Esophageal cancer;
minimally invasive esophagectomy;
complication;
fast track;
quality of life;
endoscopic submucosal dissection
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2018;25(4):338-344
- CountryChina
- Language:Chinese
-
Abstract:
In this review, development and application of the minimally invasive esophagectomy(MIE) for esophageal cancer are discussed including the types of MIE procedures, short- and long- term outcome after MIE; as well the future of MIE is forecasted. Main procedures of MIE performed currently include esophagectomy via thoracoscopy and laparoscopy and cervical esophagogastrosty, Ivor-Lewis MIE via thoracoscopy and laparoscopy, and hiatal MIE. Ivor-Lewis MIE gradually becomes a standard surgical option for the cancer of distal esophagus or esophagogastric junction while the solution of intrathoracic anastomosis via thoracoscopy has achieved. Several methods of intrathoracic anastomosis are reported such as hand-sewn, circular stapler, side-to-side and triangular anastomosis. MIE could decrease operative blood loss, shorten hospital stay and ICU stay, reduce postoperative especially pulmonary complications, and harvest more lymph nodes compared to open esophagectomy. The long-term survival has been proved similar with that after open esophagectomy for esophageal cancer. MIE has developed rapidly in recent years with some aspects in future prospectively: individual MIE treatment and quality of life, fast track after surgery, and robot-assisted MIE, as well the endoscopic submucosal dissection for esophageal cancer is mentioned.
