腔镜在食管癌根治手术中的应用现状

Endoscope in radical operation for esophageal cancer:current status

常规食管癌手术根治通过开放手术方式行食管癌切除并消化道重建,手术创伤大,手术并发症发生率及死亡率均较高,腔镜(包括电视胸腔镜、纵隔镜及腹腔镜)下的食管癌根治,因手术创伤小、出血少、术后疼痛轻等优点,降低了手术并发症及死亡率。本文分析了腔镜在食管癌根治中的应用现状及存在问题,为探讨食管癌微创外科的发展方向提供参考。

Traditional operation for esophageal cancer includes esophagectomy and digestive tract reconstruction, which is associated with more postoperative complications and high mortalities due to severe trauma. Endoscopic surgery （including thoracoscope, mediastinoscope, and laparoscope） for radical resection of esophageal cancer has mild operative trauma, less bleeding and mild postoperative pain, resulting in less postoperative complications and low mortalities. This article analyzes the current status of endoscopic surgery in radical operation of esophageal cancer and the existing problems, providing reference for the development of minimally invasive surgery of esophageal cancer.