Esophageal surgery is deemed one of the most complex visceral operations. There is a well-documented correlation between higher caseload and better outcomes, with hospitals that perform more surgeries experiencing significantly lower mortality rates. The approach to caseload per year varies across different countries within Europe. Germany increased the minimum annual required caseload of complex esophageal surgeries from 10 to 26 starting in 2023. Furthermore, the new regulations present challenges for surgical training and staff recruitment, risking the further fragmentation of training programs. Enhanced regional cooperation is proposed as a solution to ensure comprehensive training. This review explores the benefits of robotic-assisted minimally invasive esophagectomy (RAMIE) in improving surgical precision and patient outcomes and aims to evaluate how the caseload per year influences the quality of patient care and the efficacy of surgical training, especially with the integration of advanced robotic techniques.
食管外科被视为最复杂的脏器手术之一。大量研究证实，手术量与治疗效果呈正相关，年手术量较高的医院其死亡率显著降低。欧洲各国对年度手术量的要求存在差异：德国自2023年起将复杂食管手术的最低年手术量要求从10例提升至26例。新规同时给外科培训与人员招募带来挑战，可能导致培训体系进一步碎片化。加强区域合作被提议作为保障系统化培训的解决方案。本文综述了机器人辅助微创食管切除术（RAMIE）在提升手术精准度与患者预后方面的优势，旨在评估年度手术量如何影响患者护理质量及外科培训成效，特别是在先进机器人技术整合应用的背景下。
Caseload per Year in Robotic-Assisted Minimally Invasive Esophagectomy: A Narrative Review
肿瘤(癌症)患者之家