The Impact of Hybrid Minimally Invasive Esophagectomy with Neck-Abdominal First Approach on the Short- and Long-Term Outcomes for Esophageal Squamous Cell Carcinoma
Background Currently, there is no consensus for an optimal minimally invasive esophagectomy (MIE) approach. This study aimed to compare hybrid MIE (hMIE) with neck-abdominal first approach to standard open esophagectomy (OE). Methods Data from a cohort of 301 patients were retrospectively analyzed....
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| Veröffentlicht in: | World journal of surgery 2020-11, Vol.44 (11), p.3829-3836 |
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| container_title | World journal of surgery |
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| creator | Hoshino, Akihiro Nakajima, Yasuaki Kawada, Kenro Tokairin, Yutaka Okada, Takuya Matsui, Toshihiro Yamaguchi, Kazuya Kawano, Tatsuyuki Kinugasa, Yusuke |
| description | Background
Currently, there is no consensus for an optimal minimally invasive esophagectomy (MIE) approach. This study aimed to compare hybrid MIE (hMIE) with neck-abdominal first approach to standard open esophagectomy (OE).
Methods
Data from a cohort of 301 patients were retrospectively analyzed. All participants received either hMIE or OE for the treatment of esophageal squamous cell carcinoma at Tokyo Medical and Dental University between January 2003 and December 2013. Analyses included propensity score matching and the Kaplan–Meier statistical method to determine overall survival (OS) and disease-free survival (DFS) of the cohort.
Results
After one-to-one propensity score matching, there were 68 patient pairs. The hMIE group had significantly lower incidence of severe postoperative complications (20.1% vs. 7.4%;
p
= 0.026) and severe respiratory complications (7.4% vs. 0%;
p
= 0.058) than the OE group. The 5-year oncological outcomes of the two groups were almost equivalent (OS: OE, 55.0%; hMIE, 69.0%;
p
= 0.063 and DFS: OE, 54.0%; hMIE, 62.0%;
p
= 0.28).
Conclusions
This study compared hMIE with neck-abdominal first approach to standard OE. The results showed significantly less severe postoperative complications for hMIE with neck-abdominal first approach in comparison with OE, without a compromise in long-term oncological outcomes. |
| doi_str_mv | 10.1007/s00268-020-05655-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2449448851</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2449448851</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4267-ad9f25b4ecf42f56b69762ed45e9f74ccbb66c0e1a11285c9df58312f207a3c33</originalsourceid><addsrcrecordid>eNqNkU1v0zAAhi0EYmXwBzggS1y4BPydhFupVlZU2KFFHC3HcVqPOM7sZFP-Dz8Ul4whcUCc7MPzPnrtF4CXGL3FCOXvIkJEFBkiKENccJ7RR2CBGSUZoYQ-BgtEBUt3TM_AsxivEcK5QOIpOKOEl7hgZAF-7I8Gblyv9AB9Ay-nKtgafraddaptJ7jpblW0twZeRN8f1cHowbsJ3tnhCL8Y_T1bVrV3tlMtXNsQB7js--CVPkLfwSG5d0cfhgyqroZb3x2yvQkOXo2D9s5E2PjwYE6K3c2onB8jXJm2hSsVtO28U8_Bk0a10by4P8_B1_XFfnWZba8-blbLbaYZEXmm6rIhvGJGN4w0XFSizAUxNeOmbHKmdVUJoZHBCmNScF3WDS8oJg1BuaKa0nPwZvamJ9yMJg7S2ahTFdWZ1EoShgtMGONlQl__hV77MaRvOFGsZKwoOE4UmSkdfIzBNLIP6WPDJDGSpw3lvKFMG8pfG8pTi1f36rFypn6I_B4tAe9n4M62ZvoPpfz2afdhjZAo8hSmczimXHcw4U_xf3T6CWUIuVI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2449448851</pqid></control><display><type>article</type><title>The Impact of Hybrid Minimally Invasive Esophagectomy with Neck-Abdominal First Approach on the Short- and Long-Term Outcomes for Esophageal Squamous Cell Carcinoma</title><source>Wiley Online Library Journals Frontfile Complete</source><source>SpringerLink Journals</source><creator>Hoshino, Akihiro ; Nakajima, Yasuaki ; Kawada, Kenro ; Tokairin, Yutaka ; Okada, Takuya ; Matsui, Toshihiro ; Yamaguchi, Kazuya ; Kawano, Tatsuyuki ; Kinugasa, Yusuke</creator><creatorcontrib>Hoshino, Akihiro ; Nakajima, Yasuaki ; Kawada, Kenro ; Tokairin, Yutaka ; Okada, Takuya ; Matsui, Toshihiro ; Yamaguchi, Kazuya ; Kawano, Tatsuyuki ; Kinugasa, Yusuke</creatorcontrib><description>Background
Currently, there is no consensus for an optimal minimally invasive esophagectomy (MIE) approach. This study aimed to compare hybrid MIE (hMIE) with neck-abdominal first approach to standard open esophagectomy (OE).
Methods
Data from a cohort of 301 patients were retrospectively analyzed. All participants received either hMIE or OE for the treatment of esophageal squamous cell carcinoma at Tokyo Medical and Dental University between January 2003 and December 2013. Analyses included propensity score matching and the Kaplan–Meier statistical method to determine overall survival (OS) and disease-free survival (DFS) of the cohort.
Results
After one-to-one propensity score matching, there were 68 patient pairs. The hMIE group had significantly lower incidence of severe postoperative complications (20.1% vs. 7.4%;
p
= 0.026) and severe respiratory complications (7.4% vs. 0%;
p
= 0.058) than the OE group. The 5-year oncological outcomes of the two groups were almost equivalent (OS: OE, 55.0%; hMIE, 69.0%;
p
= 0.063 and DFS: OE, 54.0%; hMIE, 62.0%;
p
= 0.28).
Conclusions
This study compared hMIE with neck-abdominal first approach to standard OE. The results showed significantly less severe postoperative complications for hMIE with neck-abdominal first approach in comparison with OE, without a compromise in long-term oncological outcomes.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-020-05655-3</identifier><identifier>PMID: 32591842</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdomen ; Abdominal Surgery ; Cardiac Surgery ; Complications ; Esophageal cancer ; Esophagus ; Gastrointestinal surgery ; General Surgery ; Matching ; Medicine ; Medicine & Public Health ; Neck ; Original Scientific Report ; Patients ; Squamous cell carcinoma ; Surgery ; Survival ; Thoracic Surgery ; Vascular Surgery</subject><ispartof>World journal of surgery, 2020-11, Vol.44 (11), p.3829-3836</ispartof><rights>Société Internationale de Chirurgie 2020</rights><rights>2020 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>Société Internationale de Chirurgie 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4267-ad9f25b4ecf42f56b69762ed45e9f74ccbb66c0e1a11285c9df58312f207a3c33</citedby><cites>FETCH-LOGICAL-c4267-ad9f25b4ecf42f56b69762ed45e9f74ccbb66c0e1a11285c9df58312f207a3c33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-020-05655-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-020-05655-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,41469,42538,45555,45556,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32591842$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hoshino, Akihiro</creatorcontrib><creatorcontrib>Nakajima, Yasuaki</creatorcontrib><creatorcontrib>Kawada, Kenro</creatorcontrib><creatorcontrib>Tokairin, Yutaka</creatorcontrib><creatorcontrib>Okada, Takuya</creatorcontrib><creatorcontrib>Matsui, Toshihiro</creatorcontrib><creatorcontrib>Yamaguchi, Kazuya</creatorcontrib><creatorcontrib>Kawano, Tatsuyuki</creatorcontrib><creatorcontrib>Kinugasa, Yusuke</creatorcontrib><title>The Impact of Hybrid Minimally Invasive Esophagectomy with Neck-Abdominal First Approach on the Short- and Long-Term Outcomes for Esophageal Squamous Cell Carcinoma</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
Currently, there is no consensus for an optimal minimally invasive esophagectomy (MIE) approach. This study aimed to compare hybrid MIE (hMIE) with neck-abdominal first approach to standard open esophagectomy (OE).
Methods
Data from a cohort of 301 patients were retrospectively analyzed. All participants received either hMIE or OE for the treatment of esophageal squamous cell carcinoma at Tokyo Medical and Dental University between January 2003 and December 2013. Analyses included propensity score matching and the Kaplan–Meier statistical method to determine overall survival (OS) and disease-free survival (DFS) of the cohort.
Results
After one-to-one propensity score matching, there were 68 patient pairs. The hMIE group had significantly lower incidence of severe postoperative complications (20.1% vs. 7.4%;
p
= 0.026) and severe respiratory complications (7.4% vs. 0%;
p
= 0.058) than the OE group. The 5-year oncological outcomes of the two groups were almost equivalent (OS: OE, 55.0%; hMIE, 69.0%;
p
= 0.063 and DFS: OE, 54.0%; hMIE, 62.0%;
p
= 0.28).
Conclusions
This study compared hMIE with neck-abdominal first approach to standard OE. The results showed significantly less severe postoperative complications for hMIE with neck-abdominal first approach in comparison with OE, without a compromise in long-term oncological outcomes.</description><subject>Abdomen</subject><subject>Abdominal Surgery</subject><subject>Cardiac Surgery</subject><subject>Complications</subject><subject>Esophageal cancer</subject><subject>Esophagus</subject><subject>Gastrointestinal surgery</subject><subject>General Surgery</subject><subject>Matching</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neck</subject><subject>Original Scientific Report</subject><subject>Patients</subject><subject>Squamous cell carcinoma</subject><subject>Surgery</subject><subject>Survival</subject><subject>Thoracic Surgery</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkU1v0zAAhi0EYmXwBzggS1y4BPydhFupVlZU2KFFHC3HcVqPOM7sZFP-Dz8Ul4whcUCc7MPzPnrtF4CXGL3FCOXvIkJEFBkiKENccJ7RR2CBGSUZoYQ-BgtEBUt3TM_AsxivEcK5QOIpOKOEl7hgZAF-7I8Gblyv9AB9Ay-nKtgafraddaptJ7jpblW0twZeRN8f1cHowbsJ3tnhCL8Y_T1bVrV3tlMtXNsQB7js--CVPkLfwSG5d0cfhgyqroZb3x2yvQkOXo2D9s5E2PjwYE6K3c2onB8jXJm2hSsVtO28U8_Bk0a10by4P8_B1_XFfnWZba8-blbLbaYZEXmm6rIhvGJGN4w0XFSizAUxNeOmbHKmdVUJoZHBCmNScF3WDS8oJg1BuaKa0nPwZvamJ9yMJg7S2ahTFdWZ1EoShgtMGONlQl__hV77MaRvOFGsZKwoOE4UmSkdfIzBNLIP6WPDJDGSpw3lvKFMG8pfG8pTi1f36rFypn6I_B4tAe9n4M62ZvoPpfz2afdhjZAo8hSmczimXHcw4U_xf3T6CWUIuVI</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Hoshino, Akihiro</creator><creator>Nakajima, Yasuaki</creator><creator>Kawada, Kenro</creator><creator>Tokairin, Yutaka</creator><creator>Okada, Takuya</creator><creator>Matsui, Toshihiro</creator><creator>Yamaguchi, Kazuya</creator><creator>Kawano, Tatsuyuki</creator><creator>Kinugasa, Yusuke</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>202011</creationdate><title>The Impact of Hybrid Minimally Invasive Esophagectomy with Neck-Abdominal First Approach on the Short- and Long-Term Outcomes for Esophageal Squamous Cell Carcinoma</title><author>Hoshino, Akihiro ; Nakajima, Yasuaki ; Kawada, Kenro ; Tokairin, Yutaka ; Okada, Takuya ; Matsui, Toshihiro ; Yamaguchi, Kazuya ; Kawano, Tatsuyuki ; Kinugasa, Yusuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4267-ad9f25b4ecf42f56b69762ed45e9f74ccbb66c0e1a11285c9df58312f207a3c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdomen</topic><topic>Abdominal Surgery</topic><topic>Cardiac Surgery</topic><topic>Complications</topic><topic>Esophageal cancer</topic><topic>Esophagus</topic><topic>Gastrointestinal surgery</topic><topic>General Surgery</topic><topic>Matching</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neck</topic><topic>Original Scientific Report</topic><topic>Patients</topic><topic>Squamous cell carcinoma</topic><topic>Surgery</topic><topic>Survival</topic><topic>Thoracic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoshino, Akihiro</creatorcontrib><creatorcontrib>Nakajima, Yasuaki</creatorcontrib><creatorcontrib>Kawada, Kenro</creatorcontrib><creatorcontrib>Tokairin, Yutaka</creatorcontrib><creatorcontrib>Okada, Takuya</creatorcontrib><creatorcontrib>Matsui, Toshihiro</creatorcontrib><creatorcontrib>Yamaguchi, Kazuya</creatorcontrib><creatorcontrib>Kawano, Tatsuyuki</creatorcontrib><creatorcontrib>Kinugasa, Yusuke</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoshino, Akihiro</au><au>Nakajima, Yasuaki</au><au>Kawada, Kenro</au><au>Tokairin, Yutaka</au><au>Okada, Takuya</au><au>Matsui, Toshihiro</au><au>Yamaguchi, Kazuya</au><au>Kawano, Tatsuyuki</au><au>Kinugasa, Yusuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Hybrid Minimally Invasive Esophagectomy with Neck-Abdominal First Approach on the Short- and Long-Term Outcomes for Esophageal Squamous Cell Carcinoma</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2020-11</date><risdate>2020</risdate><volume>44</volume><issue>11</issue><spage>3829</spage><epage>3836</epage><pages>3829-3836</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Background
Currently, there is no consensus for an optimal minimally invasive esophagectomy (MIE) approach. This study aimed to compare hybrid MIE (hMIE) with neck-abdominal first approach to standard open esophagectomy (OE).
Methods
Data from a cohort of 301 patients were retrospectively analyzed. All participants received either hMIE or OE for the treatment of esophageal squamous cell carcinoma at Tokyo Medical and Dental University between January 2003 and December 2013. Analyses included propensity score matching and the Kaplan–Meier statistical method to determine overall survival (OS) and disease-free survival (DFS) of the cohort.
Results
After one-to-one propensity score matching, there were 68 patient pairs. The hMIE group had significantly lower incidence of severe postoperative complications (20.1% vs. 7.4%;
p
= 0.026) and severe respiratory complications (7.4% vs. 0%;
p
= 0.058) than the OE group. The 5-year oncological outcomes of the two groups were almost equivalent (OS: OE, 55.0%; hMIE, 69.0%;
p
= 0.063 and DFS: OE, 54.0%; hMIE, 62.0%;
p
= 0.28).
Conclusions
This study compared hMIE with neck-abdominal first approach to standard OE. The results showed significantly less severe postoperative complications for hMIE with neck-abdominal first approach in comparison with OE, without a compromise in long-term oncological outcomes.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32591842</pmid><doi>10.1007/s00268-020-05655-3</doi><tpages>8</tpages></addata></record> |
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| ispartof | World journal of surgery, 2020-11, Vol.44 (11), p.3829-3836 |
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| language | eng |
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| source | Wiley Online Library Journals Frontfile Complete; SpringerLink Journals |
| subjects | Abdomen Abdominal Surgery Cardiac Surgery Complications Esophageal cancer Esophagus Gastrointestinal surgery General Surgery Matching Medicine Medicine & Public Health Neck Original Scientific Report Patients Squamous cell carcinoma Surgery Survival Thoracic Surgery Vascular Surgery |
| title | The Impact of Hybrid Minimally Invasive Esophagectomy with Neck-Abdominal First Approach on the Short- and Long-Term Outcomes for Esophageal Squamous Cell Carcinoma |
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