Minimally Invasive and Robotic Surgery in the Surgical Treatment of Esophagogastric Junction Cancer
| Autor: | Marta María García Fernández, Mónica Miró Martín, Fernando Estremiana García, Humberto Aranda Danso, Ismael Díez del Val, Carla Bettónica Larrañaga, Saioa Leturio Fernández, Emma Eizaguirre Letamendia, Laura Martí Gelonch, Javier Ortiz Lacorzana, Carlos Loureiro González, José Ignacio Asensio Gallego, Julen Barrenetxea Asua, Leandre Farran Teixidó |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Esophageal Neoplasms medicine.medical_treatment 030230 surgery Abdominal wall Barrett Esophagus 03 medical and health sciences Postoperative Complications 0302 clinical medicine Robotic Surgical Procedures Suture (anatomy) Gastrectomy Stomach Neoplasms Positron Emission Tomography Computed Tomography Humans Medicine Neoplasm Invasiveness Robotic surgery Esophagogastric junction business.industry Anastomosis Surgical General Engineering Cancer medicine.disease Surgery Esophagectomy medicine.anatomical_structure Lymph Node Excision Laparoscopy Lymphadenectomy Esophagogastric Junction Esophagoscopy business |
| Zdroj: | Cirugía Española (English Edition). 97:451-458 |
| ISSN: | 2173-5077 |
| DOI: | 10.1016/j.cireng.2019.09.005 |
| Popis: | Minimally invasive surgery provides for the treatment of esophagogastric junction tumors under safe conditions, reducing respiratory and abdominal wall complications. Recovery is improved, while maintaining the oncological principles of surgery to obtain an optimal long-term outcome. It is important to have a sufficient volume of activity to progress along the learning curve with close expert supervision in order to guarantee R0 resection and adequate lymphadenectomy. Minimal invasiveness ought not become an objective in itself. Should total gastrectomy be performed, the risk of a positive proximal margin makes intraoperative biopsy compulsory, without ruling out a primary open approach. Meanwhile, minimally invasive esophagectomy has been gaining ground. Its main difficulty, the intrathoracic anastomosis, can be safely carried out either with a mechanical side-to-side suture or a robot-assisted manual suture, thanks to the 3-D vision and versatility of the instruments. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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