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Evolution of Thoracoscopic-Laparoscopic Esophagectomy and Considerations

  • Qizhou Bo
  • Tiecheng Pan
Chapter

Abstract

To reduce the pain and mortality of patients associated with esophageal cancer surgery, thoracic surgeons introduced minimally invasive techniques into esophagectomy, and the thoracoscopic-laparoscopic esophagectomy becomes one of the major techniques in minimally invasive esophageal surgery.

The thoracoscopic esophagectomy, which was technically operational but restricted by technology and surgical apparatus in the early days, had nothing proven to be superior than the traditional open surgery. With the accruing experience of surgeons and the development of surgical apparatus, the endoscopic surgery shows its advantages in bleeding, complications, hospital stays, etc. The thoracoscopic esophagectomy practice in China began from the 1990s and had a significant growth in the number of cases since the twenty-first century with satisfactory clinical effects.

Historically, it is inevitable for esophageal surgery to evolve to minimally invasive esophageal surgery which tends to be accepted by patients for minimal invasion, rapid rehabilitation after surgery, etc., but the higher charges and non-applicability to specific cases necessitate further discussions on technology and ethics in the developing countries.

Keywords

Minimal invasion Thoracoscope Esophagectomy Complication Postoperative rehabilitation 

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Copyright information

© Springer Nature Singapore Pte Ltd. and Huazhong University of Science and Technology Press 2018

Authors and Affiliations

  • Qizhou Bo
    • 1
  • Tiecheng Pan
    • 2
  1. 1.Department of Cardiothoracic SurgeryGansu Provincial HospitalLanzhouChina
  2. 2.Department of Cardiothoracic SurgeryTongji Hospital, Tongji Medical College of Huazhong University of Science and TechnologyWuhanChina

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