机器人手术系统在多学科治疗模式下微创食管癌根治术中应用的思考

Consideration about the application of robotic surgical system in minimally invasive esophagectomy under multidisciplinary treatment concept

目前,以胸腔镜联合腹腔镜为代表的微创食管切除术已广泛应用于食管癌外科治疗中。近年来,机器人辅助微创食管癌根治术逐渐呈蓬勃发展趋势。根据国际上的研究进展及实践经验,机器人辅助微创食管癌根治术具有与传统胸腹腔镜微创食管癌根治术同样的手术安全性和有效性。本文对机器人辅助微创食管癌根治术的安全性、淋巴结清扫有效性、预后影响与传统胸腹腔镜微创食管癌根治术进行比较,并对其在食管癌多学科治疗中的作用等问题进行系统阐述,以促进机器人辅助微创食管癌根治术的规范化应用和发展,更加合理、有效地应对当前面临的挑战。

Nowadays, thoracoscopic laparoscopic esophagectomy（TLE） has been widely used in the treatment of esophageal cancer. In recent years, robot assisted minimally invasive esophagectomy（RAMIE） has been developing vigorously. According to the research progress and practical experience in the world, RAMIE has the same safety and effectiveness as TLE. In this paper, several aspects on this novel operation were demonstrated, including the safety evaluation, lymph node dissection, prognosis of RAMIE, comparison of RAMIE and TLE, and the role of RAMIE in multidisciplinary treatment of esophageal cancer, in order to promote the rational application of RAMIE in esophagectomy.