review of minimally invasive esophagectomy and current controversies回顾微创食管切除术和当前的争议.pdfVIP

Hindawi Publishing Corporation Gastroenterology Research and Practice Volume 2012, Article ID 683213, 7 pages doi:10.1155/2012/683213 Review Article Review of Minimally Invasive Esophagectomy and Current Controversies T. Kim, S. N. Hochwald, G. A. Sarosi, A. M. Caban, G. Rossidis, and K. Ben-David Department of Surgery, College of Medicine, University of Florida, P.O. Box 100109, Gainesville, FL 32610-0109, USA Correspondence should be addressed to K. Ben-David, kfir.bendavid@surgery.ufl.edu Received 19 March 2012; Revised 1 June 2012; Accepted 8 June 2012 Academic Editor: Yong Song Guan Copyright © 2012 T. Kim et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Esophagectomy is a complex operation with significant morbidity and mortality. Minimally invasive esophagectomy (MIE) was described in the 1990s in an effort to reduce operative morbidity. Since then many institutions have adopted and described their series with this technique. This paper reviews the literature on the variety of MIE techniques, clinical and quality of life outcomes with open versus MIE, and controversies surrounding MIE—such as prone positioning, stapling techniques, size of the gastric conduit, and robotic techniques. 1. Introduction reported their experiences in the adoption and refinement of MIE for benign and malignant diseases of the esopha- Esophagectomy for benign or malignant disease is a complex gus. Hence, this paper summarizes the literature to date, operation with significant morbidity and mortality.