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Zentralbl Chir 2024; 149(02): 163-168
DOI: 10.1055/a-2241-0439
Originalarbeit

Evidenz für die minimalinvasive Ösophagusresektion

Evidence for Minimal Invasive Oesophageal Resection
Henrik Nienhüser
1   Klinik für Allgemein, Viszeral- und Transplantationschirurgie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland (Ringgold ID: RIN27178)
,
Thomas Schmidt
2   Klinik für Allgemein-, Viszeral-, Tumor- und Transplantationschirurgie, Universitätsklinikum Köln, Köln, Deutschland
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Zusammenfassung

In den letzten zwei Jahrzehnten hat die minimalinvasive Chirurgie in allen Bereichen einen extremen Zuwachs an Bedeutung erlangt. Hierbei sind insbesondere in der onkologischen Chirurgie Operationsverfahren etabliert worden, ohne dass hierfür die notwendige Evidenz generiert wurde, die eine gleichwertige Qualität zu den offenen Verfahren nachgewiesen hat. Hierfür wurde erst in den vergangenen Jahren durch randomisiert-kontrollierte Studien und nachfolgende Metaanalysen die entsprechende Evidenz geniert. In diesem Artikel wird die Evidenz für die minimalinvasive Ösophagusresektion beschrieben und ein Überblick über die aktuelle Literatur in den jeweiligen Verfahren zusammengefasst.

Abstract

In the course of the last 20 years, minimally invasive therapy has become much more important in all areas. In particular, surgical procedures have been established in oncological surgery, even without generating the necessary evidence to assure that the quality is equal to that achieved with open procedures. For this purpose, it has only been in recent years that appropriate randomised controlled studies followed by meta-analyses have been carried out. In this article, we summarise the evidence for minimally invasive resection of the oesophagus and review current literature for each procedure.

Schlüsselwörter

Abdominalchirurgie - Ösophaguskarzinom - perioperatives Management

Keywords

abdominal surgery - cancer - gastric carcinoma


Publication History

Received: 20 November 2023

Accepted: 27 December 2023

Article published online:
05 February 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
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