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专访|Prof. Ahmad S. Ashrafi:加拿大素里综合医院及北美微创食管癌切除术的情况

丽桃 周
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编者按:第二届上海市胸科医院食管外科国际高峰论坛于3月23~24日顺利召开,会议聚焦食管癌的远期生存结果,尤其是以外科治疗为核心的综合治疗生存结果,涵盖全球范围内不同地区、不同术式、不同分期、不同治疗策略下食管癌患者的远期生存。AME出版社很荣幸邀请到此次的演讲嘉宾——加拿大素里综合医院(Surry Memorial Hospital)的Ahmad S. Ashrafi教授跟我们分享素里综合医院及北美的微创食管癌切除术的情况(图1)。

图1.   Ahmad S. Ashrafi教授及AME团队

早在2006年,Ashrafi教授便首次开展了微创食管癌切除术。随后,他加入加拿大素里综合医院,不断学习和研究这项手术。Ashrafi教授介绍道:“虽然北美的医院对微创手术的接受速度比较慢,但目前已经有很多医院采用微创食管癌切除术。而在素里综合医院就有4个团队做微创食管癌切除术,并且这项手术已经是医院的一项标准手术,涵盖各种术式,如经右胸-腹部两切口的Ivor-Lewis手术、经颈部-右胸-上腹三切口的Mckeown手术及经食管裂孔食管切除术等。总体上在过去10年里,微创食管癌切除术主要使用的是Ivor-Lewis术式。与众多医院对比,素里综合医院及北美的医院开展的微创食管癌切除术都有比较好的短期结果或长期结果。”

谈及微创食管癌切除术的并发症,Ashrafi教授表示,素里综合医院组建了专业的团队面对并发症,努力做到尽早发现,及时处理。

最后,Ashrafi教授分享了他及其团队正在开展的一些实验。其中一项是关于微创食管癌切除术的优点和缺点的回顾性研究,他们期待通过一系列的数据来分析素里综合医院微创食管癌切除术的情况,从而与其他医院进行对比学习。此外,Ashrafi教授还开展了关于使用APP辅助微创食管癌切除术的教学研究。

更多详情,请观看以下视频:

采访问题

1)Could you briefly introduce the history and status of MIE at SMH and North America?

2)How is the short term and long term outcomes of MIE at SMH and North America?

3)What is the main approach of MIE at SMH and North America?    

4)How about the other doctors in your hospital?     

5)What are the major complications of MIE at SMH and North America? How you deal with them? 

6)I learned that you are doing a retrospective study of esophagectomy at SMH. Could you briefly introduce this study?      

7)What important trials or studies on MIE are doing at SMH and North America now?

8)Do you have any scheduled trails or studies on MIE in the future?

专家简介

Ahmad S. Ashrafi, MD, FRCS(C)

2002-2004 Locum general surgeon The Ottawa Hospital, Ontario

2002-2005 Trauma Services, Trauma Team Leader

Division of General Surgery Department of Surgery

University of Ottawa and the Ottawa Hospital

2006-2008 Niagara Health System

Attending Thoracic Surgeon Attending Intensivist

Clinical Assistant Professor of Surgery, (McMaster)

2008-Present Surrey Memorial Hospital Attending Thoracic

Surgeon Attending Intensivist

2008-present Active staff Royal Columbian Hospital, Fraser Health B.C

Licentiate of The Medical Council of Canada

2002-2005 Examiner for Medical Council of Canada

采写编辑:周丽桃,AME Publishing Company

视频编辑:麦雪芳,AME Publishing Company

学术审核:张开平,AME Publishing Company

排版编辑:潘洁晓,AME Publishing Company

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