微创McKeown术式在食管癌治疗中的应用进展  

Advances in the minimally invasive McKeown procedure in the management of esophageal cancer

作　　者：刘志超 杨新卫[1] 赵雪松 景丽 郭林静[1] 闫晓亮[1] Liu Zhichao;Yang Xinvei;Zhao Xuesong;Jing Li;Guo Linjing;Yan Xiaoliang(Department of Thoracic Surgery,the First Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学第一医院胸心外科,太原030001

出　　处：《中华胸心血管外科杂志》2025年第4期248-256,共9页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：食管癌是全球发病率第8位的恶性肿瘤,我国是食管癌高发国家。目前可切除食管癌治疗方案是以外科手术为基础的多学科综合治疗。近年来微创食管癌手术在临床上应用越来越多,尤其是McKeown微创食管癌切除术(minimally invasive esophagectomy,MIE),该术式已成为国内目前使用最多的微创食管癌术式。但McKeown MIE治疗食管癌相较于开放McKeown术式及其他微创食管癌术式的效果到底如何,尚未见详细综述。本文将综合McKeown MIE和传统McKeown开放术式、Ivor-Lewis MIE术式、Sweet术式及机器人辅助McKeown MIE术式相关临床研究,进行系统分析,探讨McKeown MIE术式在治疗食管癌中的应用价值。Esophageal cancer is the eighth most common malignant tumor in the world,and China is a country with high incidence of esophageal cancer.Currently,The treatment options for resectable esophageal cancer is multidisciplinary comprehensive treatment based on surgery.In recent years,minimally invasive esophageal cancer surgery has been increasingly used in clinical practice,especially McKeown minimally invasive esophagectomy(MIE)has become the most minimally invasive esophagectomy currently used in China.But how effective is the McKeown MIE for esophageal cancer compared to the open McKeown and other minimally invasive esophageal cancer procedures?A detailed comprehensive description is not yet available.In this paper,We will summarize the clinical studies related to McKeown MIE and traditional open McKeown,Ivor-Lewis MIE,Sweet operation and robot-assisted McKeown MIE,and systematically analyze them,so as to clarify the value of McKeown MIE surgery in the treatment of esophageal cancer.

关 键 词：Ivor-Lewis术式 微创手术 McKeown术式 食管癌 

分 类 号：R735.1[医药卫生—肿瘤]