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World Journal of Surgery

Published in:

01-04-2011

Is There Any Benefit to Incorporating a Laparoscopic Procedure into Minimally Invasive Esophagectomy? The Impact on Perioperative Results in Patients with Esophageal Cancer

Authors: Jang-Ming Lee, Jen-Wei Cheng, Ming-Tsang Lin, Pei-Ming Huang, Jin-Shing Chen, Yung-Chie Lee

Published in: World Journal of Surgery | Issue 4/2011

Abstract

Background

The benefit of using the laparoscopic approach in minimally invasive esophagectomy (MIE) has not been established. We therefore compared the outcome of esophagectomy for patients with esophageal cancer performed with open surgery, video-assisted thoracic surgery (VATS)/laparotomy (hybrid MIE), and VATS/ laparoscopy (total MIE).

Methods

Patients with esophageal cancer undergoing tri-incisional esophagectomy with three different approaches between 2005 and 2009 were analyzed from a prospective database.

Results

Three groups of patients underwent esophagectomy by open surgery (n = 64), hybrid MIE (n = 44), and total MIE (n = 30). The total MIE group had significantly longer operative times but had shorter postoperative ventilator usage times postoperative hospital stay, and they began jejunostomy feeding sooner (P < 0.05, compared with the other groups). There was a significant trend toward a decrease in postoperative pulmonary complications and anastomotic leakage in parallel to the proportion of minimally invasive procedures for esophagectomy (P < 0.05 for the trend test), with a significant difference between the open surgery and total MIE groups (30% vs. 6.7%, and 28% vs. 6.7%, respectively; P < 0.05).

Conclusions

Use of a laparoscopic procedure in MIE for patients with esophageal cancer might provide benefit by facilitating postoperative recovery and reducing the rates of post-esophagectomy pulmonary complications and anastomotic leakage.

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Title: Is There Any Benefit to Incorporating a Laparoscopic Procedure into Minimally Invasive Esophagectomy? The Impact on Perioperative Results in Patients with Esophageal Cancer
Authors: Jang-Ming Lee
Jen-Wei Cheng
Ming-Tsang Lin
Pei-Ming Huang
Jin-Shing Chen
Yung-Chie Lee
Publication date: 01-04-2011
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 4/2011
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-011-0955-4

ACC 2024 Congress

Springer Medicine

Is There Any Benefit to Incorporating a Laparoscopic Procedure into Minimally Invasive Esophagectomy? The Impact on Perioperative Results in Patients with Esophageal Cancer

Abstract

Background

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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