Chinese expert consensus on the inflatable video-assisted mediastinoscopic transhiatal esophagectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WU Hanran , LIU Changqing ,  XIE Mingran , Representatives of Thoracic Surgery Committee of Anhui Medical Association , Thoracic Oncology Surgery Professional Committee of Anhui Clinical Oncology Society

Department of Thoracic Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, 230001, P. R. China;

Corresponding author：

XIE Mingran, Email: xmr1981@ustc.edu.cn

Keywords：

Esophageal neoplasms; inflatable video-assisted mediastinoscopy; esophagectomy; surgery; expert consensus

DOI：

10.7507/1007-4848.202308007

Video：

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Abstract Full text Figures/Tables Video References Cited by

With the widespread application of minimally invasive esophagectomy, inflatable video-assisted mediastinoscopic transhiatal esophagectomy (IVMTE) has gradually become one of the alternative surgical methods for transthoracic esophagectomy due to less trama, fewer perioperative complications and better short-term efficacy. However, there is no uniform standard for surgical methods and lymph node dissection in medical centers that perform IVMTE, which affects the standardization and further promotion of IVMTE. Therefore, on the basis of fully consulting domestic and foreign literature, our team proposed an expert consensus focusing on IVMTE, in order to standardize the clinical practice, guarantee the quality of treatment and promote the development of IMVTE.

Citation： WU Hanran, LIU Changqing, XIE Mingran, Representatives of Thoracic Surgery Committee of Anhui Medical Association, Thoracic Oncology Surgery Professional Committee of Anhui Clinical Oncology Society. Chinese expert consensus on the inflatable video-assisted mediastinoscopic transhiatal esophagectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(10): 1367-1376. doi: 10.7507/1007-4848.202308007 Copy

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1. Liu CQ, Ma YL, Qin Q, et al. Epidemiology of esophageal cancer in 2020 and projections to 2030 and 2040. Thoracic Cancer, 2023, 14(1): 3-11.
2. Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2021, 71(3): 209‐249.
3. Short MW, Burgers KG, Fry VT. Esophageal cancer. Am Fam Physician, 2017, 95 (1): 22‐28.
4. Zhang Y. Epidemiology of esophageal cancer. World J Gastroenterol, 2013, 19 (34): 5598‐5606.
5. Rizk NP, Ishwaran H, Rice TW, et al. Optimum lymphadenectomy for esophageal cancer. Ann Surg, 2010, 251(1): 46‐50.
6. Ando N, Ozawa S, Kitagawa Y, et al. Improvement in the results of surgical treatment of advanced squamous esophageal carcinoma during 15 consecutive years. Ann Surg, 2000, 232 (2): 225‐232.
7. Biere SS, van Berge Henegouwen MI, Maas KW, et al. Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: A multicentre, open‐label, randomised controlled trial. Lancet, 2012, 379(9829): 1887-1892.
8. Barreto JC, Posner MC. Transhiatal versus transthoracic esophagectomy for esophageal cancer. World J Gastroenterol, 2010, 16(30): 3804‐3810.
9. Reichert M, Schistek M, Uhle F, et al. Ivor Lewis esophagectomy patients are particularly vulnerable to respiratory impairment:Acomparison to major lung resection . Sci Rep, 2019, 9(1): 11856.
10. Buess G, Becker HD. Minimally invasive surgery in tumor of the esophagus. Langenbecks Arch Chir Suppl Ⅱ Verh Dtsch Ges Forsh Chir, 1990, 118: 1355‐1360.
11. Ikeda Y, Niimi M, Kan S, et al. Mediastinoscopic esophagectomy using carbon dioxide insufflation via the neck approach. Surg, 2001, 129 (4): 504‐506.
12. Fujiwara H, Shiozaki A, Konishi H, et al. Single-port mediastinoscopic lymphadenectomy along the left recurrent laryngeal nerve. Ann Thorac Surg, 2015, 100 (3): 1115‐1117.
13. Tokairin Y, Nakajima Y, Kawada K, et al. A feasibility study of mediastinoscopic radical esophagectomy for thoracic esophageal cancer from the viewpoint of the dissected mediastinal lymph nodes validated with thoracoscopic procedure: A prospective clinical trial. Esophagus, 2019, 16 (2): 214‐219.
14. 国家消化内镜专业质控中心, 国家消化系统疾病临床医学研究中心(上海), 国家消化道早癌防治中心联盟, 等. 中国早期食管癌及癌前病变筛查专家共识意见(2019年, 新乡) . 中华健康管理学杂志, 2019, 13 (6): 465-473.
15. 宋颂, 雷林, 张瑞, 等. 食管癌筛查的研究进展. 中华肿瘤防治杂志, 2022, 29(7): 451-455.
16. Geetha NT, Hallur N, Goudar G, et al. Cervival lymph node metastasis in oral squamous carcinoma preoperative assessment and histopathology after neck dissection. J Maxillofac Oral Surg, 2010, 9(1): 42-47.
17. Shetty D, Jayade BV, Joshi SK, et al. Accuracy of palpation, ultrasonography, and computed tomography in the evaluation of metastatic cervical lymph nodes in head and neck cancer. Indian J Dent, 2015, 6(3): 121-124.
18. 江吕泉, 高坤祥, 郑建, 等. 多层螺旋CT和超声内镜对食管癌术前评估及手术方案选择的随机对照研究. 中国肿瘤临床, 2010, 37(22): 1300-1303.
19. 刘益, 刘青, 刘开江, 等. 影像学检查在宫颈癌盆腹腔淋巴结转移诊断中的价值. 国际妇产科学杂志, 2022, 49(3): 296-301.
20. Yamada I, Izumi Y, Kawano T, et al. Esophageal carcinoma: evaluation with high-resolution three-dimensional constructive interference in steady slate MR imaging in vitro. J MagnReson Imaging, 2006, 24(6): 1326-1332.
21. Giganti F, Ambrosi A, Petrone MC, et al. Prospective comparision of MR with diffusion-weighted imaging, edoscopic ultrasound, MDCT and positron emission tomography-CT in the pre-operative staging of esophageal cancer: Results from a pilot study. Br J Radiol, 2016, 89(1068): 20160087.
22. 董成来, 陈志军, 王忠民, 等. MRI与超声内镜在食管癌术前T分期诊断中的价值. 中华实用诊断与治疗杂志, 2021, 35(1): 70-73.
23. Alper F, Turkyilmaz A, Kurtcan S, et al. Effectiveness of the STIR turbo spin-echo sequence MR imaging in evaluation of lymphadenopathy in esophageal cancer. Eur J Radiol, 2011, 80(3): 625-628.
24. van Rossum PS, van Lier AL, van Vulpen M, et al. Diffusion-weighted magnetic resonance imaging for the prediction of pathologic reponse to neoadjuvant chemoradiotherapy in esophageal cancer. Radiother Oncol, 2015, 115(2): 163-170.
25. Cafagna D, Rubini G, Luele F, et al. Whole-body MR-DWIBS vs. 18F-FDG-PET/CT in the study of malignant tumors: A retrospective study. Radiol Med, 2012, 117(2): 293-311.
26. Wang NF, Zhang MJ, Sun T, et al. A comparative study: Diffusion weighted whole body imaging with background body signal suppression and hybrid positron emission computed tomography on detecting sesions in onclolgic clinics. Eur J Radiol, 2012, 81(7): 1662-1666.
27. 谢瑜娟, 陈胜江, 张周龙, 等. 彩色多普勒超声在食管癌颈部淋巴结诊断中的价值. 食管疾病, 2021, 3(4): 256-258, 290.
28. 左磊, 梅新宇, 吴汉然. 术前颈部淋巴结超声评估食管癌选择性三野清扫术的价值. 医学信息, 2021, 34(14): 87-91.
29. Pepek JM, Willett CG, Czito BG. Technical considerations in radiation therapy for gastroesophageal junction cancer. Semin Radiat Oncol, 2013, 23(1): 51-59.
30. 中国医院协会介入医学中心分会. 医学影像学在食管癌治疗决策中引用的专家共识. 中华介入放射学电子杂志, 2021, 9(1): 1-8.
31. LoCicero J, Feins RH, Colson YL, et al. Shields' general thoracic surgery, 8th edition. Wolters Kluwer Health, 2018.
32. 李红敏, 代宁涛, 周福有, 等. 多种肿瘤标志物联合检测在食管癌诊断中的价值. 食管疾病, 2022, 4(4): 261-264.
33. Jain T, Ram S, Kumar H, et al. Ascitic and serum levels of tumor biomarkers (CA 72-4, CA 19-9, CEA and CA 125) in discrimination of cause of ascites: A prospective study. Arquivos de Gastroenterologia, 2022, 59: 198-203.
34. 国家卫生健康委员会. 食管癌诊疗规范(2018年版). 中华消化病与影像杂志(电子版), 2019, 9(4): 158-192.
35. NCCN clinical practice guidelines: Esophageal and esophagogastic junction cancers. URL: https://www.nccn.org/professionals/physician_gls/default.aspx#site. [Accessed on 2023-06-23.
36. 中国临床肿瘤学会指南工作委员会. 2020年中国临床肿瘤学会食管癌诊疗指南. 北京: 人民卫生出版社, 2020. 46-56..
37. 柳常青, 吴汉然, 郭明发, 等. 改良充气式纵隔镜在早期胸段食管癌中的临床应用. 中华胸心血管外科杂志, 2019, 35(2): 80-85.
38. 黄志宁, 柳常青, 郭明发, 等. 充气式纵隔镜联合腹腔镜食管癌切除术的临床分析. 中华外科杂志, 2023, 61(1): 48-53.
39. 宋尚岐, 胡杨, 徐昱扬, 等. 充气纵隔镜联合腹腔镜食管癌切除术的临床进展. 中华消化外科杂志, 2023, 22(4): 474-480.
40. Okumura H, Uchikado Y, Matsumoto M, et al. Clinical signi- ficance of mediastinoscope‐assisted transhiatal esophagectomy in patients with esophageal cancer. Langenbecks Arch Surg, 2015, 400(6): 699‐706.
41. Jin Y, Lu X, Xue L, et al. Retrospective Comparison of two minimally invasive esophagectomy in the treatment of esophageal cancer: Pneumatic mediastinoscopy versus thoracoscopy. J Laparoendosc Adv Surg Tech A, 2019, 29(5): 638‐642.
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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Chinese expert consensus on the inflatable video-assisted mediastinoscopic transhiatal esophagectomy

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