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Published in:

01-12-2013 | Original Article

Minimally Invasive Esophagectomy in the Elderly

Authors: Shailesh Puntambekar, Rahul Kenawadekar, Archit Pandit, Akshay Nadkarni, Saurabh Joshi, Geetanjali Agarwal, Nasir Ahmad Bhat, Jainul Malik, Sunil Reddy

Published in: Indian Journal of Surgical Oncology | Issue 4/2013

Abstract

Objective

A retrospective analysis of a prospectively maintained database to evaluate our experience in elderly patients (>70 years) undergoing Thoracolaparoscopic esophagectomy for cancer oesophagus. To ascertain whether age, is a limiting factor for patients undergoing minimally invasive esophagectomy.

Methods

All Patients above 70 years of age, referred to the Gastro-esophageal clinic were included in the study. Tumours were staged as per AJCC 6th ed. 2002. Patients diagnosed with T1/2/3, N0/1 lesion of the mid/lower oesophagus (Infra Azygous) and type I and II Gastro esophageal junction tumours were included in the study. Patients with ASA grade IV were excluded. All patients who underwent Thoracolaparoscopic esophagectomy from January 2009 till January 2012 were evaluated for their perioperative outcomes.

Results

Sixty eight patients underwent Minimal Invasive esophagectomy from January 2009 to January 2012. There were 45 males and 23 females. The average age in elderly group was 75.76 ± 5.96 years (range 70 to 91). Mean operative time was 178.84 ± 65.26 min, mean blood loss 143.84 ml(range 32–450 ml), mean ICU stay 3.84 days(range 2–11 days) and mean hospital stay was 12.76 days(range 8–21 days). Pneumonia and Cardiac related complications occurred in 10.30 % and 1.47 % patients respectively. None of the procedures required conversion to open thoracotomy.

Conclusions

Thoracolaparoscopic esophagectomy is feasible and surgically safe in elderly patients with low morbidity and mortality. Thus age of a patient should not be considered a limiting factor.

Ultramini Abstract

This is an original article about our experience of thoracolaparoscopic esophagectomy for cancer esophagus in elderly patients. After analyzing the data we feel that age of the patient cannot be a truly limiting factor for patient diagnosed of esophageal cancer to undergo minimally invasive esophagectomy.

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Title: Minimally Invasive Esophagectomy in the Elderly
Authors: Shailesh Puntambekar
Rahul Kenawadekar
Archit Pandit
Akshay Nadkarni
Saurabh Joshi
Geetanjali Agarwal
Nasir Ahmad Bhat
Jainul Malik
Sunil Reddy
Publication date: 01-12-2013
Publisher: Springer India
Published in: Indian Journal of Surgical Oncology / Issue 4/2013
Print ISSN: 0975-7651
Electronic ISSN: 0976-6952
DOI: https://doi.org/10.1007/s13193-013-0263-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Minimally Invasive Esophagectomy in the Elderly

Abstract

Objective

Methods

Results

Conclusions

Ultramini Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

Ultramini Abstract

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