Erschienen in:
01.11.2013 | Letter to the Editor
Commentary on “Uttley L, Campbell F, Rhodes M et al. Minimally invasive esophagectomy versus open surgery: is there an advantage? Surg Endosc 2013;27(3):724–731”
verfasst von:
Emma Hamilton, Ewen A. Griffiths
Erschienen in:
Surgical Endoscopy
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Ausgabe 11/2013
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Excerpt
In their systematic review of open versus minimal access esophagectomy (MIO), Uttley et al. [
1] correctly conclude that due to factors such as selection bias, sufficient evidence does not exist to suggest the MIO is either equivalent to or superior to open surgery. However, they suggest that a randomized controlled trial (RCT) would be difficult to conduct for ethical reasons (e.g., variations in surgical skill between procedures and complex decision making in determining the optimal operative interventions) and that it would be time consuming due to recruitment issues. We agree that a RCT would pose particular issues, but it is the only way for a robust comparison of the two techniques. …