Risk and management of adverse events in minimally invasive esophagectomy  

作　　者：Li-Qun Li Yan Jiao 

机构地区：[1]The Third Operating Room,The First Hospital of Jilin University,Changchun 130000,Jilin Province,China [2]Department of Hepatobiliary and Pancreatic Surgery,General Surgery Center,The First Hospital of Jilin University,Changchun 130021,Jilin Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2025年第3期21-26,共6页世界胃肠外科杂志(英文)

摘　　要：Minimally invasive esophagectomy(MIE)has transformed esophageal surgery by reducing morbidity,accelerating recovery,and improving postoperative out-comes compared to traditional open esophagectomy.By utilizing techniques such as laparoscopic,thoracoscopic,and robotic-assisted approaches,MIE mini-mizes surgical trauma while maintaining oncological thoroughness.However,it also presents unique challenges,including risks of complications such as ana-stomotic leakage,pulmonary complications,and atrial fibrillation.Zhong et al developed and validated a risk stratification model for predicting surgical adverse events after MIE,enhancing preoperative assessment and patient management.This editorial further examines the advantages of MIE,its comparable oncological and long-term outcomes,as well as the incidence and contributing factors of post-operative complications.Emerging technologies,including machine learning models,intraoperative nerve monitoring,and robotic-assisted surgery,are high-lighted as innovative solutions for risk prediction and prevention.Strategies such as enhanced recovery after surgery protocols and multidisciplinary collaboration are emphasized for their critical roles in minimizing complications and optimizing patient outcomes.By addressing these aspects,this editorial provides guidance to surgical teams in maximizing the benefits of MIE while effectively managing its associated risks.

关 键 词：Minimally invasive esophagectomy Anastomotic leakage Enhanced recovery after surgery Robotic-assisted surgery Surgical adverse events 

分 类 号：R655.4[医药卫生—外科学]