充气式纵隔镜食管癌切除术中国专家共识

Chinese expert consensus on the inflatable video-assisted mediastinoscopic transhiatal esophagectomy

近年来,随着微创食管癌手术的普及,充气式纵隔镜食管癌切除术(inflatable video-assisted mediastinoscopic transhiatal esophagectomy,IVMTE)因创伤较小、围手术期并发症少、远近期疗效良好逐渐成为经胸入路的可替代方案之一。但目前开展IVMTE单位的手术方法及淋巴结清扫各异,影响IVMTE手术的规范化及进一步推广。因此,本团队在充分查阅国内外文献的基础上,提出聚焦IVMTE诊疗的专家共识,旨在为临床医生开展IVMTE提供参考,进一步推广和提高我国IVMTE的规范化水平。

With the widespread application of minimally invasive esophagectomy,inflatable video-assisted mediastinoscopic transhiatal esophagectomy(IVMTE)has gradually become one of the alternative surgical methods for transthoracic esophagectomy due to less trama,fewer perioperative complications and better short-term efficacy.However,there is no uniform standard for surgical methods and lymph node dissection in medical centers that perform IVMTE,which affects the standardization and further promotion of IVMTE.Therefore,on the basis of fully consulting domestic and foreign literature,our team proposed an expert consensus focusing on IVMTE,in order to standardize the clinical practice,guarantee the quality of treatment and promote the development of IMVTE.