机器人辅助食管癌切除术喉返神经旁淋巴结清扫与质量控制  

Quality control for lymph node dissection around the recurrent laryngeal nerve in robot-assisted esophagectomy

作　　者：段晓峰(综述) 岳杰(综述) 王睿臻(综述) 姜宏景(审校) Xiaofeng Duan;Jie Yue;Ruizhen Wang;Hongjing Jiang(Department of Esophageal Surgery,Tianjin Medical University Cancer Institute&Hospital,National Clinical Research Center for Cancer,Tianjin’s Clinical Research Center for Cancer,Tianjin Key Laboratory of Cancer Prevention and Therapy,Tianjin 300060,China)

机构地区：[1]天津医科大学肿瘤医院食管肿瘤微创外科,国家肿瘤临床医学研究中心,天津市“肿瘤防治”重点实验室,天津市恶性肿瘤临床医学研究中心,天津市300060

出　　处：《中国肿瘤临床》2024年第20期1061-1065,共5页Chinese Journal of Clinical Oncology

摘　　要：食管鳞癌上纵隔淋巴结转移率高,清扫效能高,同时手术难度较大。随着腔镜等微创外科技术的发展,食管鳞癌的淋巴结清扫进入了微解剖指导下的精准切除时代,国内外学者提出了不同的外科理念,包括系膜切除及“同心圆”微解剖模型。随着达芬奇机器人在食管外科中的应用,其较传统腔镜的优势日益明显,包括上纵隔淋巴结清扫和喉返神经(recurrent laryngeal nerve,RLN)功能保护。结合天津医科大学肿瘤医院的经验,本文探讨机器人辅助食管鳞癌RLN旁淋巴结清扫及质量控制,进一步规范食管鳞癌上纵隔淋巴结清扫,改善患者围术期的生存质量,提高远期生存时间。Mediastinal lymph node metastasis in esophageal squamous cell carcinoma is associated with a high metastasis rate and surgical difficulty.Minimally invasive surgical techniques,such as laparoscopy,allow for precise lymph node dissection in esophageal cancer with guidance for microanatomy.Different surgical concepts,including mesonephrectomy and the"concentric circle"anatomical model,have been proposed by scholars.The use of Da Vinci robots in esophageal surgery is advantageous over traditional laparoscopy in facilitating upper mediastinal lymph node dissection and protecting recurrent laryngeal nerve(RLN)function.Based on the experience of our center,we explore robot-assisted lymph node dissection and quality control for esophageal cancer adjacent to the RLN,which can further standardize lymph node dissection in the upper mediastinum and improve perioperative quality of life and long-term survival.

关 键 词：食管鳞癌 淋巴结清扫 喉返神经 达芬奇机器人手术系统 质量控制 

分 类 号：R735.1[医药卫生—肿瘤]