食管癌手术入路的百年演变及临床意义  

One hundred years of evolution of esophageal surgical approach and clinical significance

作　　者：陈克能[1] 

机构地区：[1]北京大学肿瘤医院胸外一科、恶性肿瘤发病机制及转化研究教育部重点实验室,100142

出　　处：《中华胃肠外科杂志》2012年第9期886-888,共3页Chinese Journal of Gastrointestinal Surgery

基　　金：国家自然科学基金（30572130）;国家973计划（2011CB504300）;教育部博士生学术新人奖;北京市自然科学基金（7102029）;首都医学发展科研基金（2005-2020）;首都医学发展科研基金（2007-1023）;北京市卫生系统高层次卫生技术人才培训计划（2009-12-17）

摘　　要：外科治疗食管癌已有百年历史，食管解剖位置独特．可以经左胸、右胸甚至不剖胸完成手术，其中经左胸食管癌手术不仅是最古老的．也是我国沿用至今的方式。然而．目前认为经有胸手术更合乎肿瘤根治原则．渐为大家所认识。因此．以右胸为基础的胸腔镜食管切除术将成为更符合肿瘤学根治与微创原则的食管癌主流手术。Esophageal surgery has developed for ahnost 100 years. Esophagectomy can be performed via left, fight thoracotomy, even via hiatus without thoracotomy due to its unique anatomic characteristics. Left thoracotomy was the initial approach in the world, and has still been performed by Chinese colleagues, but Ivor Lewis （fight side thoracotomy） procedure is popular in western countries. Currently, esophagectomy by right thoracotomy has been accepted worldwidely since its radical dissection for tumor. Therefore, video-assisted thoracoscopk： esophagetomy based on right thoracotomy will be the mainstream surgery for esophageal cancer in the future since its minimal invasion and tumor dissection.

关 键 词：食管肿瘤 外科手术 手术入路 临床疗效 

分 类 号：R735.1[医药卫生—肿瘤]