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Erschienen in: World Journal of Surgery 4/2011

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

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

Erschienen in: World Journal of Surgery | Ausgabe 4/2011

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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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Metadaten
Titel
Is There Any Benefit to Incorporating a Laparoscopic Procedure into Minimally Invasive Esophagectomy? The Impact on Perioperative Results in Patients with Esophageal Cancer
verfasst von
Jang-Ming Lee
Jen-Wei Cheng
Ming-Tsang Lin
Pei-Ming Huang
Jin-Shing Chen
Yung-Chie Lee
Publikationsdatum
01.04.2011
Verlag
Springer-Verlag
Erschienen in
World Journal of Surgery / Ausgabe 4/2011
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-011-0955-4

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