The evolution of surgical approach for esophageal cancer

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 case...

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Published inAnnals of the New York Academy of Sciences Vol. 1434; no. 1; pp. 149 - 155
Main Authors Gisbertz, Suzanne S., Hagens, Eliza R.C., Ruurda, Jelle P., Schneider, Paul M., Tan, Li Jie, Domrachev, Sergey A., Hoeppner, Jens, Berge Henegouwen, Mark I.
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.12.2018
Subjects
Anastomosis
Cancer
Esophageal cancer
esophageal resection
Esophagus
Feasibility studies
gastric tube reconstruction
Learning curves
minimally invasive esophagectomy
robotic esophagectomy
Robotic surgery
Surgery
transthoracic esophagectomy
transthoracic esophagectomy
robotic esophagectomy
esophageal resection
esophageal cancer
gastric tube reconstruction
minimally invasive esophagectomy
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Summary: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. Minimally invasive esophagectomy (MIE) is technically difficult and requires a long learning curve. 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. Our review discusses these developments and recent literature on open, minimally invasive and robotic esophageal surgery.
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ISSN:0077-8923
1749-6632
DOI:10.1111/nyas.13957