The use of a tailored surgical technique for minimally invasive esophagectomy

Objective Uncertainty exists among surgeons as to whether minimally invasive esophagectomy (MIE) is a comparable operation to open esophagectomy (OE). The surgical technique and oncologic dissection should not be degraded when using a minimally invasive approach. Methods We reviewed a single hospita...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	The Journal of thoracic and cardiovascular surgery 2012-05, Vol.143 (5), p.1125-1129
Hauptverfasser:	Javidfar, Jeffrey, MD, Bacchetta, Matthew, MD, Yang, Jonathan A., MD, MPH, Miller, Joanna, BS, D’Ovidio, Frank, MD, PhD, Ginsburg, Mark E., MD, Gorenstein, Lyall A., MD, Bessler, Marc, MD, Sonett, Joshua R., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Adenocarcinoma - mortality Adenocarcinoma - pathology Adenocarcinoma - surgery Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Carcinoma, Squamous Cell - mortality Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery Cardiology. Vascular system Cardiothoracic Surgery Chi-Square Distribution Esophageal Neoplasms - mortality Esophageal Neoplasms - pathology Esophageal Neoplasms - surgery Esophagectomy - adverse effects Esophagectomy - methods Esophagectomy - mortality Female Humans Kaplan-Meier Estimate Lymph Node Excision Male Medical sciences Middle Aged Minimally Invasive Surgical Procedures New York City Pneumology Postoperative Complications - etiology Retrospective Studies Stomach, duodenum, intestine, rectum, anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Time Factors Treatment Outcome
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Beschreibung
Zusammenfassung:	Objective Uncertainty exists among surgeons as to whether minimally invasive esophagectomy (MIE) is a comparable operation to open esophagectomy (OE). The surgical technique and oncologic dissection should not be degraded when using a minimally invasive approach. Methods We reviewed a single hospital’s experience with both OE and MIE. From 2000 to 2010, 257 patients underwent esophagectomy by 1 of 3 surgical techniques: transhiatal, Ivor Lewis, or 3-hole. Results Of the 257 patients (median age, 67 years; range, 58–74), 92 underwent MIE. Both groups were comparable in terms of gender, age, comorbidities, surgical technique, and induction chemotherapy and radiotherapy. The overall median follow-up was 29.5 months (range, 9.9–61.5). The MIE group had a significantly shorter operative time (MIE vs OE, 330 vs 365 minutes, P = .04), length of stay (MIE vs OE, 9 vs 12 days, P
ISSN:	0022-5223 1097-685X
DOI:	10.1016/j.jtcvs.2012.01.071