Minimally invasive esophagectomy  

作　　者：Fernando A Herbella Marco G Patti 

机构地区：[1]Department of Surgery,University of Chicago Pritzker School of Medicine,Chicago,IL 60637,United States

出　　处：《World Journal of Gastroenterology》2010年第30期3811-3815,共5页世界胃肠病学杂志（英文版）

摘　　要：Esophageal resection is associated with a high morbidity and mortality rate. Minimally invasive esophagectomy (MIE) might theoretically decrease this rate. We reviewed the current literature on MIE, with a focus on the available techniques, outcomes and comparison with open surgery. This review shows that the available literature on MIE is still crowded with heterogeneous studies with different techniques. There are no controlled and randomized trials, and the few retrospective comparative cohort studies are limited by small numbers of patients and biased by historical controls of open surgery. Based on the available literature, there is no evidence that MIE brings clear benef its compared to conventional esophagectomy. Increasing experience and the report of larger series might change this scenario.Esophageal resection is associated with a high morbidity and mortality rate. Minimally invasive esophagectomy (MIE) might theoretically decrease this rate. We reviewed the current literature on MIE, with a focus on the available techniques, outcomes and comparison with open surgery. This review shows that the available literature on MIE is still crowded with heterogeneous studies with different techniques. There are no controlled and randomized trials, and the few retrospective comparative cohort studies are limited by small numbers of patients and biased by historical controls of open surgery. Based on the available literature, there is no evidence that MIE brings clear benef its compared to conventional esophagectomy. Increasing experience and the report of larger series might change this scenario.

关 键 词：ESOPHAGEAL resection Transhiatal ESOPHAGECTOMY TRANSTHORACIC ESOPHAGECTOMY ESOPHAGEAL cancer MINIMALLY invasive ESOPHAGECTOMY LAPAROSCOPY THORACOSCOPY 

分 类 号：R735.1[医药卫生—肿瘤]