微创技术在食管外科领域中的应用现状

Current status of minimally invasive techniques in the field of esophageal surgery

食管癌是我国常见的消化系统恶性肿瘤。目前针对局限性且可切除食管癌的治疗仍以外科手术为主。食管癌微创治疗具有创伤小、切口美观、疼痛轻、术后恢复快、术后并发症发生率及病死率低的优点,且与传统开放手术治疗效果相当。因此,食管癌微创手术逐渐成为食管外科治疗的主流选择。各种食管癌微创手术具有不同的适应证及优缺点。伴随着微创技术的不断发展,各种微创手术方式的缺点不断被克服,由此也带来微创治疗选择的多样化。笔者梳理国内外最新研究进展,探讨微创技术在食管外科领域中的应用现状,旨在为食管癌的临床微创治疗提供参考。

Esophageal cancer is a common malignant tumor of the digestive system in China.Currently,surgical resection is the main treatment for localized and resectable esophageal cancer.Minimally invasive treatment of esophageal cancer has the advantages of small trauma,neat incision,less pain,quick postoperative recovery,low postoperative complication incidence and mortality,and the treatment effect is comparable to traditional open surgery.Therefore,minimally invasive surgery for esophageal cancer has gradually become the mainstream choice for esophageal surgery.Various minimally invasive treatment approaches for esophageal cancer have correspon-dingly different indications,advantages and disadvantages.With the continuous development of minimally invasive technology,the shortcomings of various minimally invasive surgical approaches have been continuously overcome,which has brought about the diversification of minimally invasive treatment options.The authors comb the latest research progress at home and abroad,discuss and summarize the current application of minimally invasive techniques in esophageal surgery,hoping to provide references for the clinical minimally invasive treatment of esophageal cancer.