Hybrid Minimally Invasive Esophagectomy for Esophageal Cancer

Open esophagectomy involves laparotomy and thoracotomy. Laparoscopic abdominal surgery may be useful for reducing complications, but does it control the cancer? A trial suggests that morbidity is lower and cancer outcomes are at least as good with the hybrid procedure as with the open procedure.

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Bibliographische Detailangaben
Veröffentlicht in:	The New England journal of medicine 2019-01, Vol.380 (2), p.152-162
Hauptverfasser:	Mariette, Christophe, Markar, Sheraz R, Dabakuyo-Yonli, Tienhan S, Meunier, Bernard, Pezet, Denis, Collet, Denis, D’Journo, Xavier B, Brigand, Cécile, Perniceni, Thierry, Carrère, Nicolas, Mabrut, Jean-Yves, Msika, Simon, Peschaud, Frédérique, Prudhomme, Michel, Bonnetain, Franck, Piessen, Guillaume
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Adenocarcinoma - surgery Adult Aged Cancer Cancer surgery Cancer therapies Carcinoma, Squamous Cell - surgery Cardiovascular disease Esophageal cancer Esophageal Neoplasms - surgery Esophagectomy - adverse effects Esophagectomy - methods Esophagus Female Follow-Up Studies Gastrointestinal surgery Humans Incidence Intention to Treat Analysis Intraoperative Complications - epidemiology Laparoscopy Life Sciences Lung Diseases - etiology Lymphatic system Male Metastasis Middle Aged Minimally Invasive Surgical Procedures - adverse effects Morbidity Ostomy Patients Postoperative Complications - epidemiology Quality assurance Standardization Surgery Surgical outcomes Survival Survival Analysis Thoracotomy - adverse effects Thorax Treatment Outcome Tumors Young Adult
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Beschreibung
Zusammenfassung:	Open esophagectomy involves laparotomy and thoracotomy. Laparoscopic abdominal surgery may be useful for reducing complications, but does it control the cancer? A trial suggests that morbidity is lower and cancer outcomes are at least as good with the hybrid procedure as with the open procedure.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMoa1805101