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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 1/2010

01-02-2010 | DeMeester Festschrift

Minimally Invasive Esophagectomy

Authors: Christy M. Dunst, Lee L. Swanström

Published in: Journal of Gastrointestinal Surgery | Special Issue 1/2010

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Abstract

Introduction

Minimally invasive esophagectomy has gained popularity over the past two decades. The procedural goal is to decrease the high overall morbidity of a traditional open esophageal resection. The entire spectrum of open esophagectomy techniques has been successfully replicated in a minimally invasive fashion.

Discussion

Esophagectomy remains one of the most technically challenging operations, and developing the skills necessary for minimal invasive esophagectomy is associated with a steep learning curve. Minimally invasive approaches show most promise for benign disease and select early esophageal cancers, but their role in more advanced cancer remains controversial due to lack of long-term results.

Conclusion

As minimally invasive esophagectomy matures, its true value in both benign and malignant disorders will become better defined.
Literature
1.
Dallemagne B, Weerts JM, Jehaes C, Markiewicz S, Lombard R. Laparoscopic Nissen fundoplication: preliminary report. Surg Laparosc Endosc 1991;1(3):138–143.PubMed
2.
Cuschieri A. Laparoscopic antireflux surgery and repair of hiatal hernia. World J Surg 1993;17(1):40–45.CrossRefPubMed
3.
Cuschieri A, Hunter J, Wolfe B, Swanström LL, Hutson W. Multicenter prospective evaluation of laparoscopic antireflux surgery. Preliminary report. Surg Endosc 1993;7(6):505–510.CrossRefPubMed
4.
Cuschieri A, Shimi S, Banting S. Endoscopic oesophagectomy through a right thoracoscopic approach. J R Coll Surg Edinb 1992;37(1):7–11.PubMed
5.
Collard JM, Lengele B, Otte JB, Kestens PJ. En bloc and standard esophagectomies by thoracoscopy. Ann Thorac Surg 1993;56(3):675–679.PubMedCrossRef
6.
DePaula AL, Hashiba K, Ferreira EA, de Paula RA, Grecco E. Laparoscopic transhiatal esophagectomy with esophagogastroplasty. Surg Laparosc Endosc 1995;5(1):1–5.PubMed
7.
Swanström LL, Hansen P. Laparoscopic total esophagectomy. Arch Surg 1997;132(9):943–947. (discussion 947–949).PubMed
8.
Luketich JD, Alvelo-Rivera M, Buenaventura PO, Christie NA, McCaughan JS, Litle VR, Schauer PR, Close JM, Fernando HC. Minimally invasive esophagectomy: outcomes in 222 patients. Ann Surg 2003;238(4):486–494.PubMed
9.
Williams VA, Watson TJ, Herbella FA, Gellersen O, Raymond D, Jones C, Peters JH. Esophagectomy for high grade dysplasia is safe, curative, and results in good alimentary outcome. J Gastrointest Surg 2007;11(12):1589–1597.CrossRefPubMed
10.
Peyre CG, DeMeester SR, Rizzetto C, Bansal N, Tang AL, Ayazi S, Leers JM, Lipham JC, Hagen JA, DeMeester TR. Vagal-sparing esophagectomy: the ideal operation for intramucosal adenocarcinoma and barrett with high-grade dysplasia. Ann Surg 2007;246(4):665–671. (discussion 671–674).CrossRefPubMed
11.
Ell C, May A, Gossner L, Pech O, Günter E, Mayer G, Henrich R, Vieth M, Müller H, Seitz G, Stolte M. Endoscopic mucosal resection of early cancer and high-grade dysplasia in Barrett’s esophagus. Gastroenterology 2000;118(4):670–677.CrossRefPubMed
12.
Sharma VK, Wang KK, Overholt BF, Lightdale CJ, Fennerty MB, Dean PJ, Pleskow DK, Chuttani R, Reymunde A, Santiago N, Chang KJ, Kimmey MB, Fleischer DE. Balloon-based, circumferential, endoscopic radiofrequency ablation of Barrett's esophagus: 1-year follow-up of 100 patients. Gastrointest Endosc 2007;65(2):185–195.CrossRefPubMed
13.
Nguyen NT, Roberts P, Follette DM, Rivers R, Wolfe BM. Thoracoscopic and laparoscopic esophagectomy for benign and malignant disease: lessons learned from 46 consecutive procedures. J Am Coll Surg 2003;197(6):902–913.CrossRefPubMed
14.
Bizekis C, Kent MS, Luketich JD, Buenaventura PO, Landreneau RJ, Schuchert MJ, Alvelo-Rivera M. Initial experience with minimally invasive Ivor Lewis esophagectomy. Ann Thorac Surg 2006;82(2):402–406.CrossRefPubMed
15.
Palanivelu C, Prakash A, Senthilkumar R, Senthilnathan P, Parthasarathi R, Rajan PS, Venkatachlam S. Minimally invasive esophagectomy: thoracoscopic mobilization of the esophagus and mediastinal lymphadenectomy in prone position—experience of 130 patients. J Am Coll Surg 2006;203(1):7–16.CrossRefPubMed
16.
Collins G, Johnson E, Kroshus T, Ganz R, Batts K, Seng J, Nwaneri O, Dunn D. Experience with minimally invasive esophagectomy. Surg Endosc 2006;20(2):298–301.CrossRefPubMed
17.
Smithers BM, Gotley DC, Martin I, Thomas JM. Comparison of the outcomes between open and minimally invasive esophagectomy. Ann Surg 2007;245(2):232–240.CrossRefPubMed
18.
Fabian T, Martin JT, McKelvey AA, Federico JA. Minimally invasive esophagectomy: a teaching hospital’s first year experience. Dis Esophagus 2008;21(3):220–225.CrossRefPubMed
19.
Sunpaweravong S, Chewatanakornkul S, Ruangsin S. Initial experience and result of thoracoscopic and laparoscopic esophagectomy. J Med Assoc Thai 2008;91(8):1202–1205.PubMed
20.
Jobe BA, Reavis KM, Davis JJ, Hunter JG. Laparoscopic inversion esophagectomy: simplifying a daunting operation. Dis Esophagus 2004;17(1):95–97.CrossRefPubMed
21.
Dapri G, Himpens J, Cadière GB. Minimally invasive esophagectomy for cancer: laparoscopic transhiatal procedure or thoracoscopy in prone position followed by laparoscopy? Surg Endosc 2008;22(4):1060–1069.CrossRefPubMed
22.
Fabian T, Martin J, Katigbak M, McKelvey AA, Federico JA. Thoracoscopic esophageal mobilization during minimally invasive esophagectomy: a head-to-head comparison of prone versus decubitus positions. Surg Endosc 2008;22(11):2485–2491.CrossRefPubMed
23.
Swanström LL. Minimally invasive surgical approaches to esophageal cancer. J Gastrointest Surg 2002;6(4):522–526.CrossRefPubMed
24.
Banki F, Mason RJ, DeMeester SR, Hagen JA, Balaji NS, Crookes PF, Bremner CG, Peters JH, DeMeester TR. Vagal-sparing esophagectomy: a more physiologic alternative. Ann Surg 2002;236(3):324–335. (discussion 335–336).CrossRefPubMed
25.
Hofstetter W, Swisher SG, Correa AM, Hess K, Putnam JB Jr, Ajani JA, Dolormente M, Francisco R, Komaki RR, Lara A, Martin F, Rice DC, Sarabia AJ, Smythe WR, Vaporciyan AA, Walsh GL, Roth JA. Treatment outcomes of resected esophageal cancer. Ann Surg 2002;236(3):376–384.CrossRefPubMed
26.
Bailey SH, Bull DA, Harpole DH, Rentz JJ, Neumayer LA, Pappas TN, Daley J, Henderson WG, Krasnicka B, Khuri SF. Outcomes after esophagectomy: a ten-year prospective cohort. Ann Thorac Surg 2003;75(1):217–222.CrossRefPubMed
27.
Rizk NP, Bach PB, Schrag D, Bains MS, Turnbull AD, Karpeh M, Brennan MF, Rusch VW. The impact of complications on outcomes after resection for esophageal and gastroesophageal junction carcinoma. J Am Coll Surg 2004;198(1):42–50.CrossRefPubMed
28.
Portale G, Hagen JA, Peters JH, Chan LS, DeMeester SR, Gandamihardja TA, DeMeester TR. Modern 5-year survival of resectable esophageal adenocarcinoma: single institution experience with 263 patients. J Am Coll Surg 2006;202(4):588–596. (discussion 596–598).CrossRefPubMed
29.
Orringer MB, Marshall B, Chang AC, Lee J, Pickens A, Lau CL. Two thousand transhiatal esophagectomies: changing trends, lessons learned. Ann Surg 2007;246(3):363–372.CrossRefPubMed
30.
Low DE, Kunz S, Schembre D, Otero H, Malpass T, Hsi A, Song G, Hinke R, Kozarek RA. Esophagectomy—it’s not just about mortality anymore: standardized perioperative clinical pathways improve outcomes in patients with esophageal cancer. J Gastrointest Surg 2007;11(11):1395–1402. (discussion 1402).CrossRefPubMed
31.
Nigro JJ, Hagen JA, DeMeester TR, DeMeester SR, Peters JH, Oberg S, Theisen J, Kiyabu M, Crookes PF, Bremner CG. Prevalence and location of nodal metastases in distal esophageal adenocarcinoma confined to the wall: implications for therapy. J Thorac Cardiovasc Surg 1999;117(1):16–23.CrossRefPubMed
32.
Schwarz RE, Smith DD. Clinical impact of lymphadenectomy extent in resectable esophageal cancer. J Gastrointest Surg. 2007;11(11):1384–1393.CrossRefPubMed
33.
Altorki NK, Zhou XK, Stiles B, Port JL, Paul S, Lee PC, Mazumdar M. Total number of resected lymph nodes predicts survival in esophageal cancer. Ann Surg. 2008;248(2):221–226.CrossRefPubMed
34.
Peyre CG, Hagen JA, DeMeester SR, Altorki NK, Ancona E, Griffin SM, Hölscher A, Lerut T, Law S, Rice TW, Ruol A, van Lanschot JJ, Wong J, DeMeester TR. The number of lymph nodes removed predicts survival in esophageal cancer: an international study on the impact of extent of surgical resection. Ann Surg 2008;248(4):549–556.PubMed
35.
Cadiere GB, Torres R, Dapri G, Capelluto E, Hainaux B, Himoens J. Thoracoscopic and laparoscopic oesophagectomy improves the quality of extended lymphadenectomy. Surg Endosc 2006;20:1308–1309.CrossRefPubMed
36.
Berrisford RG, Wajed SA, Sanders D, Rucklidge MW. Short-term outcomes following total minimally invasive oesophagectomy. Br J Surg 2008;95(5):602–610.CrossRefPubMed
37.
Yamamoto S, Kawahara K, Maekawa T, Shiraishi T, Shirakusa T. Minimally invasive esophagectomy for stage I and II esophageal cancer. Ann Thorac Surg 2005;80(6):2070–2075.CrossRefPubMed
38.
Decker G, Coosemans W, De Leyn P, Decaluwé H, Nafteux P, Van Raemdonck D, Lerut T. Minimally invasive esophagectomy for cancer. Eur J Cardiothorac Surg 2009;35:13–21.CrossRefPubMed
39.
Bonavina L, Via A, Incarbone R, Saino G, Peracchia A. Results of surgical therapy in patients with Barrett’s adenocarcinoma. World J Surg 2003;27(9):1062–1066.CrossRefPubMed
40.
Oh DS, Hagen JA, Chandrasoma PT, Dunst CM, Demeester SR, Alavi M, Bremner CG, Lipham J, Rizzetto C, Cote R, Demeester TR. Clinical biology and surgical therapy of intramucosal adenocarcinoma of the esophagus. J Am Coll Surg 2006;203(2):152–161.CrossRefPubMed
41.
Ajani JA, Barthel JS, Bekaii-Saab T, Bentrem DJ, D’Amico TA, Fuchs CS, Gerdes H, Hayman JA, Hazard L, Ilson DH, Kleinberg LR, McAleer MF, Meropol NJ, Mulcahy MF, Orringer MB, Osarogiagbon RU, Posey JA, Sasson AR, Scott WJ, Shibata S, Strong VE, Swisher SG, Washington MK, Willett C, Wood DE, Wright CD, Yang G. NCCN esophageal cancer panel. Esophageal cancer. J Natl Compr Canc Netw 2008;6(9):818–849.PubMed
42.
Suntharalingam M. Definitive chemoradiation in the management of locally advanced esophageal cancer. Semin Radiat Oncol 2007;17(1):22–28. (review).CrossRefPubMed
Metadata
Title
Minimally Invasive Esophagectomy
Authors
Christy M. Dunst
Lee L. Swanström
Publication date
01-02-2010
Publisher
Springer-Verlag
Published in
Journal of Gastrointestinal Surgery / Issue Special Issue 1/2010
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-009-1029-x

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