Video-assisted thoracoscopic esophagectomy: keynote lecture

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• 作者：Miguel A. Cuesta ; Nicole van der Wielen…
• 刊名：General Thoracic and Cardiovascular Surgery
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：64
• 期：7
• 页码：380-385
• 全文大小：349 KB
• 刊物主题：Thoracic Surgery; Cardiac Surgery; Cardiology; Surgical Oncology;
• 出版者：Springer Japan
• ISSN：1863-6713
• 卷排序：64

文摘

Minimally invasive esophagectomy (MIE) by thoracoscopy after neoadjuvant therapy results in significant short-term advantages such as a lower incidence of pulmonary infections and a better quality of life (QoL) with the same completeness of resection. After 1 year, a better QoL is still observed for MIE in comparison with the open approach, while having the same survival. Seven issues about implementation of MIE for cancer require discussion: (1) choice of the extension of esophageal resection and use of neoadjuvant therapy; (2) reasons to approach the esophageal cancer by MIE; (3) determining the best minimally invasive approach for gastro-esophageal junction cancers; (4) implementation of evidence-based MIE; (5) standardization of the surgical anatomy of the esophagus based on MIE; (6) future lines of research of MIE; and (7) learning process. In the time of imaging-integrated surgery it is clear that the MIE approach should be increasingly implemented in all centers worldwide having an adequate volume of patients and expertise.KeywordsMinimally invasive esophagectomyThoracoscopyProne positionTIME trial