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首页> 外文期刊>Surgical Endoscopy >Transhiatal robot-assisted esophagectomy.
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Transhiatal robot-assisted esophagectomy.

机译：经食管机器人辅助食管切除术。

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摘要

With interest we read the article by Galvani and coauthors in which they describe their initial experience with laparoscopic transhiatal esophagectomy partly aided by a robotic system .Their series consists of 18 selected patients with Barrett's esophagus and high-grade dysplasia (n = 9), adenocarcinoma in situ (n = 2), superficial adenocarcinoma (n = 5)or T2-3 esophageal adenocarcinoma (n = 2) without clinical evidence of lymph node metastases. Since robot-assisted laparoscopic esophagectomy in these patients was accompanied by low blood loss, low cardiopulmonarycomplication rate, and no in-hospital mortality, the authors conclude their surgical technique to be a safe and effective alternative for the treatment of esophageal adenocarcinoma. We agree with the authors that this procedure may be safe and effective for the treatment of high-grade dysplasia or in situ carcinoma; however, for esophageal cancer some remarks have to be made regarding its oncological effectiveness.
机译：有趣的是，我们阅读了Galvani及其合作者的文章，其中描述了他们在部分借助机器人系统辅助的情况下进行腹腔镜经食管食管切除术的初步经验。他们的系列包括18例选择的Barrett食管和高度不典型增生（n = 9），腺癌的患者。原位（n = 2），浅表腺癌（n = 5）或T2-3食管腺癌（n = 2），无临床证据显示淋巴结转移。由于这些患者的机器人辅助腹腔镜食管切除术伴有失血量低，心肺并发症发生率低，无院内死亡的情况，因此作者得出结论，他们的手术技术是治疗食管腺癌的一种安全有效的替代方法。我们同意作者的观点，这种方法对于治疗高度不典型增生或原位癌可能是安全有效的。然而，对于食道癌，必须就其肿瘤学有效性做出一些评论。

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