Robot-assisted minimally invasive esophagectomy. German version

被引:8
作者
van Hillegersberg, R. [1 ]
Seesing, M. F. J. [1 ]
Brenkman, H. J. F. [1 ]
Ruurda, J. P. [1 ]
机构
[1] Univ Med Zentrum Utrecht, Chirurg Abt, Heidelberglaan 100, NL-3508 GA Utrecht, Netherlands
来源
CHIRURG | 2016年 / 87卷 / 08期
关键词
Esophageal cancer; Esophagectomy; Multimodal treatment; Surgery; robot-assisted; Thoracoscopy; LIMITED TRANSHIATAL RESECTION; CANCER; SURGERY; ADENOCARCINOMA; EXPERIENCE; ESOPHAGUS;
D O I
10.1007/s00104-016-0239-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
Esophagolymphadenectomy is the cornerstone of multimodality treatment for resectable esophageal cancer. The preferred surgical approach is transthoracic, with a two-field lymph node dissection and gastric conduit reconstruction. A minimally invasive approach has been shown to reduce postoperative complications and increase quality of life. Robot-assisted minimally invasive esophagectomy (RAMIE) was developed to facilitate this complex thoracoscopic procedure. RAMIE has been shown to be safe with good oncologic results and reduced morbidity. The use of RAMIE opens new indications for curative surgery in patients with T4b tumors, high mediastinal tumors, and lymph node metastases after neoadjuvant treatment.
引用
收藏
页码:635 / 642
页数:8
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