食管手术史。

IF 0.6 4区 医学 Q4 SURGERY
Acta Chirurgica Belgica Pub Date : 2023-12-01 Epub Date: 2023-09-05 DOI:10.1080/00015458.2023.2254604
Konstantinos Laios, Konstantinos G Apostolou, Alexios Vavlas, Aggelos Ntousopoulos, Dimosthenis Chrysikos, Theodoros Troupis, Marianna Karamanou, Dimitrios Schizas
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引用次数: 0

摘要

背景:由于食道的解剖位置以及如此广泛的手术对患者体内平衡的影响,食道手术一直被认为是非常苛刻的,对手术经验和技能要求很高。本研究的目的是回顾食道手术的所有历史时间点,从其开始到现代微创食道手术时代。方法:对食道手术的第一次明确描述可以追溯到1738年,目的是试图从胸段食道中移除异物。然而,食道外科手术的高发病率和死亡率导致了微创手术方法的发明和应用。结果:食管外科手术已从广泛的外科手术发展到微创食管切除术,其唯一目的是降低围手术期的发病率和死亡率,同时保持手术的有效性。尽管良性食道病变是这种演变的主要刺激因素,但微创食道手术现在甚至应用于食管癌患者,其结果与传统手术方法相当。结论:这些新的手术技术将如何发展,并进一步改变食道手术的现状,值得关注。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The history of esophageal surgery.

Background: Esophageal surgery has always been considered extremely demanding, given the surgical experience and skills required, due to the anatomic location of the esophagus as well as the impact of such extensive operations on patients' homeostasis. The intention of the present study is to review all historical time points of esophageal surgery, from its inception to the modern era of minimally invasive esophageal surgery.

Methods: The first clear description of esophageal surgery is dated back to 1738, in an attempt to remove a foreign body from the thoracic esophagus. However, the high morbidity and mortality rates of esophageal surgical operations led to the invention and application of less invasive surgical procedures.

Results: Esophageal surgery has evolved from extensive surgical operations to minimally invasive esophagectomies, aiming exclusively to reduce perioperative morbidity and mortality, while maintaining surgical effectiveness. Despite the fact that benign esophageal pathologies were the main stimulus for this evolution, minimally invasive esophageal surgery is now applied even in patients with esophageal cancer, with outcomes comparable to those of traditional surgical approaches.

Conclusion: It would be interesting to see how all these new surgical techniques may evolve, altering further the current status of esophageal surgery in the future.

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来源期刊
Acta Chirurgica Belgica
Acta Chirurgica Belgica 医学-外科
CiteScore
1.60
自引率
12.50%
发文量
82
审稿时长
6-12 weeks
期刊介绍: Acta Chirurgica Belgica (ACB) is the official journal of the Royal Belgian Society for Surgery (RBSS) and its affiliated societies. It publishes Editorials, Review papers, Original Research, and Technique related manuscripts in the broad field of Clinical Surgery.
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