Format

Send to

Choose Destination
Ann N Y Acad Sci. 2018 Dec;1434(1):149-155. doi: 10.1111/nyas.13957. Epub 2018 Sep 7.

The evolution of surgical approach for esophageal cancer.

Author information

1
Department of Surgery, the Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
2
Department of Surgical Oncology, the University Medical Center Utrecht, Utrecht, the Netherlands.
3
The Center for Visceral, Thoracic and Specialized Tumor Surgery, Hirslanden Medical Center, Zurich, Switzerland.
4
Division of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
5
Moscow State University of Medicine and Dentistry, Moscow, Russia.
6
Faculty of Medicine, University of Freiburg Medical Center, Freiburg, Germany.

Abstract

Esophageal surgery for esophageal cancer has been performed for over a century now. Minimally invasive esophagectomy (MIE) was first described in 1992, and it is now a standard approach in many countries. However, MIE is technically difficult and requires a long learning curve. It takes >100 cases to train for MIE with gastric tube reconstruction with an intrathoracic anastomosis. A possible option to overcome several challenges of MIE might be the use of a robotic system. A robot-assisted MIE was first described in 2005, and long-term results have shown its feasibility and safety. Over the years, different approaches for esophagectomy have been established. Our review discusses these developments and recent literature on open, minimally invasive and robotic esophageal surgery.

KEYWORDS:

esophageal cancer; esophageal resection; gastric tube reconstruction; minimally invasive esophagectomy; robotic esophagectomy; transthoracic esophagectomy

PMID:
30191569
DOI:
10.1111/nyas.13957
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center