胸腔镜食管癌.pdfVIP

Surg Today (2008) 38:206–213 DOI 10.1007/s00595-007-3606-5 Review Article Video-Assisted Esophagectomy for Esophageal Cancer TOSHIAKI SHICHINOHE, SATOSHI HIRANO, and SATOSHI KONDO Surgical Oncology, Hokkaido University Graduate School of Medicine, Kita-15, Nishi-7, Kita-ku, Sapporo 060-8638, Japan assisted thoracoscopic surgery (VATS) of right trans- Abstract thoracic esophagectomy (TTE) was reported by Video-assisted surgery for esophageal cancer is an Cuschieri et al. in 1992,1 and the first laparoscopic advanced surgical technique. It has been developed on transhiatal esophagectomy (LTHE) was reported by the basis of the concept of minimally invasive surgery. Sadanaga et al. in 1994.2 A mediastinoscope-assisted Given that there are several options regarding the oper- esophagectomy has also been reported as a substitute ative procedures for thoracic esophageal cancer, several for a blunt dissection of the esophagus.3 Moreover, a laparoscopic approaches have been proposed. The first video-assisted Ivor-Lewis esophagectomy (ILE) with video-assisted thoracoscopic esophagectomy through a right thoracotomy with intrathoracic anastomosis has right thoracoscopic approach and the first transhiatal also been tried.4 Furthermore, laparoscopic gastric esophagectomy were reported in the early 1990s. A mobilization is widely accepted even in combination mediastinoscope-assisted esophagectomy has also been with an open thoracotomy. reported as a substitute for a blunt d