Cirugía transcervical de los tumores esofágicos de tercio proximal

Cirugía transcervical de los tumores esofágicos de tercio proximal. Revisión de la literatura

Transcervical surgery of proximal esophageal tumors. A review

E. Rodríguez Cuéllar*, J. Martínez Caballero*, C. Alegre Torrado*, P. Gómez Rodríguez*, D. Hernández García-Gallardo*, E. Ferrero Herrero*

* Servicio de Cirugía General, Aparato Digestivo y Trasplante de
     Órganos Abdominales. Unidad de Cirugía Colorrectal.
     Hospital Universitario 12 de Octubre. Madrid (España).

DOI: https://doi.org/10.14679/4566

Resumen:

La cirugía transcervical videoasistida ha surgido como una alternativa mínimamente invasiva para el tratamiento de tumores esofágicos del tercio proximal, evitando las desventajas de la toracoscopia. Este artículo revisa el desarrollo de la técnica, con especial énfasis en la adopción del abordaje robótico, describe complicaciones y ventajas, y analiza críticamente la evidencia disponible, incluyendo revisiones sistemáticas.
Palabras Clave: cáncer, esófago proximal, cirugía transcervical, mediastinoscopia, esofaguectomía mínimamente invasiva.

Abstract:

Video-assisted transcervical surgery has emerged as a minimally invasive alternative for the treatment of proximal esophageal tumors, avoiding the disadvantages of thoracoscopy. This article reviews the development of the technique, with particular emphasis on the adoption of the robotic approach, describes complications and advantages, and critically analyzes the available evidence, including systematic reviews.
Key words: cancer, proximal esophagus, transcervical surgery, mediastinoscopy, minimally invasive esophagectomy.

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