Minimally Invasive Ivor Lewis Esophagectomy (MILE): technique and outcomes of 100 consecutive cases
Background Esophagectomy is the mainstay of therapy for esophageal cancer but is a complex operation that is associated with significantly high morbidity and mortality rates. The primary aim of this study is to report our perioperative outcomes, and long-term survival of Minimally Invasive Ivor Lewi...
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| Veröffentlicht in: | Surgical endoscopy 2020-07, Vol.34 (7), p.3243-3255 |
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| description | Background
Esophagectomy is the mainstay of therapy for esophageal cancer but is a complex operation that is associated with significantly high morbidity and mortality rates. The primary aim of this study is to report our perioperative outcomes, and long-term survival of Minimally Invasive Ivor Lewis Esophagectomy (MILE).
Methods
IRB approved retrospective study of 100 consecutive patients who underwent elective MILE from September 2013 to November 2017 at University of Florida, Jacksonville.
Results
Primary diagnosis was esophageal cancer (
n
= 96) and benign esophageal disease (
n
= 4). Anastomotic leak rate was observed in 6%; 30- and 90-day mortality rates were 2% and 3%, respectively. The mean length of hospital stay was 10.3 days; 87 patients were discharged to home, while 12 patients were discharged to rehabilitation facility, and there was one in-hospital mortality secondary to graft necrosis. At a mean follow-up was 37 months (2–74), the 3- and 5-year overall survivals are 63.9 ± 5.0% (95% CI 53.3–72.7%) and 60.5 ± 5.3% (95% CI 49.4–69.9%), respectively. The 3- and 5-year disease-free survival is 75.0 ± 4.8% (95% CI 64.2–83.0%) and 70.4 ± 5.5% (95% CI 58.0–80.0%).
Conclusion
MILE can be performed with low perioperative mortality, and favorable long-term overall and disease-free survival. |
| doi_str_mv | 10.1007/s00464-020-07529-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_webof</sourceid><recordid>TN_cdi_webofscience_primary_000525129600003</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2387259701</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-16450375d3f81f1bf470ffc3047271fba2f28efaac953a9298d8048073e919fa3</originalsourceid><addsrcrecordid>eNqNkUFv1DAQhS0EokvhD3BAlrgUocDYjuOYG1otdKWtuMDZ8nrHravEXuJkq_33uE0pUg-op5nD957ezCPkLYNPDEB9zgB1U1fAoQIlua7gGVmwWvCKc9Y-JwvQAiqudH1CXuV8DYXXTL4kJ4JzKWTDFsRdhBh623VHuo4Hm8MB6fqQBrrBm5DpKqf9lb1EN6b-SM8u1pvVhy90RHcVw-8JqY07mqbRpR4zTZ6WXNSlmNFN462Vsxnza_LC2y7jm_t5Sn59W_1cnlebH9_Xy6-bygklx4o1tYSy7YRvmWdbXyvw3gmoFVfMby33vEVvrdNSWM11u2uhbkEJ1Ex7K07J2ey7H1IJl0fTh-yw62zENGXDRau41ApYQd8_Qq_TNMSSzvAaNAPVQlMoPlNuSDkP6M1-KM8ajoaBua3AzBWYUoG5q8BAEb27t562Pe4eJH9_XoCPM3CD2-SzCxgdPmClJMkl47opG4hCt0-nl2G0Y0hxmaY4FqmYpbng8RKHf0f-J_8f7w2v_A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2409107806</pqid></control><display><type>article</type><title>Minimally Invasive Ivor Lewis Esophagectomy (MILE): technique and outcomes of 100 consecutive cases</title><source>MEDLINE</source><source>Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>SpringerNature Journals</source><creator>Awad, Ziad T. ; Abbas, Syed ; Puri, Ruchir ; Dalton, Brian ; Chesire, David J.</creator><creatorcontrib>Awad, Ziad T. ; Abbas, Syed ; Puri, Ruchir ; Dalton, Brian ; Chesire, David J.</creatorcontrib><description>Background
Esophagectomy is the mainstay of therapy for esophageal cancer but is a complex operation that is associated with significantly high morbidity and mortality rates. The primary aim of this study is to report our perioperative outcomes, and long-term survival of Minimally Invasive Ivor Lewis Esophagectomy (MILE).
Methods
IRB approved retrospective study of 100 consecutive patients who underwent elective MILE from September 2013 to November 2017 at University of Florida, Jacksonville.
Results
Primary diagnosis was esophageal cancer (
n
= 96) and benign esophageal disease (
n
= 4). Anastomotic leak rate was observed in 6%; 30- and 90-day mortality rates were 2% and 3%, respectively. The mean length of hospital stay was 10.3 days; 87 patients were discharged to home, while 12 patients were discharged to rehabilitation facility, and there was one in-hospital mortality secondary to graft necrosis. At a mean follow-up was 37 months (2–74), the 3- and 5-year overall survivals are 63.9 ± 5.0% (95% CI 53.3–72.7%) and 60.5 ± 5.3% (95% CI 49.4–69.9%), respectively. The 3- and 5-year disease-free survival is 75.0 ± 4.8% (95% CI 64.2–83.0%) and 70.4 ± 5.5% (95% CI 58.0–80.0%).
Conclusion
MILE can be performed with low perioperative mortality, and favorable long-term overall and disease-free survival.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-020-07529-0</identifier><identifier>PMID: 32253561</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Aged ; Anastomosis, Surgical - methods ; Anastomosis, Surgical - mortality ; Anastomotic Leak - etiology ; Anastomotic Leak - mortality ; Disease-Free Survival ; Dissection ; Dynamic Manuscript ; Endoscopy ; Esophageal cancer ; Esophageal Neoplasms - mortality ; Esophageal Neoplasms - surgery ; Esophagectomy - methods ; Esophagectomy - mortality ; Esophagus ; Female ; Gastroenterology ; Gastrointestinal surgery ; Gynecology ; Hepatology ; Hospital Mortality ; Humans ; Laparoscopy ; Length of Stay - statistics & numerical data ; Life Sciences & Biomedicine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; Minimally Invasive Surgical Procedures - mortality ; Mortality ; Ostomy ; Postoperative Complications - etiology ; Postoperative Complications - mortality ; Proctology ; Retrospective Studies ; Science & Technology ; Surgery ; Surgical outcomes ; Survival Rate ; Treatment Outcome ; Veins & arteries</subject><ispartof>Surgical endoscopy, 2020-07, Vol.34 (7), p.3243-3255</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>17</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000525129600003</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c375t-16450375d3f81f1bf470ffc3047271fba2f28efaac953a9298d8048073e919fa3</citedby><cites>FETCH-LOGICAL-c375t-16450375d3f81f1bf470ffc3047271fba2f28efaac953a9298d8048073e919fa3</cites><orcidid>0000-0003-0510-9171</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-020-07529-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-020-07529-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27933,27934,28257,41497,42566,51328</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32253561$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Awad, Ziad T.</creatorcontrib><creatorcontrib>Abbas, Syed</creatorcontrib><creatorcontrib>Puri, Ruchir</creatorcontrib><creatorcontrib>Dalton, Brian</creatorcontrib><creatorcontrib>Chesire, David J.</creatorcontrib><title>Minimally Invasive Ivor Lewis Esophagectomy (MILE): technique and outcomes of 100 consecutive cases</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>SURG ENDOSC</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Esophagectomy is the mainstay of therapy for esophageal cancer but is a complex operation that is associated with significantly high morbidity and mortality rates. The primary aim of this study is to report our perioperative outcomes, and long-term survival of Minimally Invasive Ivor Lewis Esophagectomy (MILE).
Methods
IRB approved retrospective study of 100 consecutive patients who underwent elective MILE from September 2013 to November 2017 at University of Florida, Jacksonville.
Results
Primary diagnosis was esophageal cancer (
n
= 96) and benign esophageal disease (
n
= 4). Anastomotic leak rate was observed in 6%; 30- and 90-day mortality rates were 2% and 3%, respectively. The mean length of hospital stay was 10.3 days; 87 patients were discharged to home, while 12 patients were discharged to rehabilitation facility, and there was one in-hospital mortality secondary to graft necrosis. At a mean follow-up was 37 months (2–74), the 3- and 5-year overall survivals are 63.9 ± 5.0% (95% CI 53.3–72.7%) and 60.5 ± 5.3% (95% CI 49.4–69.9%), respectively. The 3- and 5-year disease-free survival is 75.0 ± 4.8% (95% CI 64.2–83.0%) and 70.4 ± 5.5% (95% CI 58.0–80.0%).
Conclusion
MILE can be performed with low perioperative mortality, and favorable long-term overall and disease-free survival.</description><subject>Abdominal Surgery</subject><subject>Aged</subject><subject>Anastomosis, Surgical - methods</subject><subject>Anastomosis, Surgical - mortality</subject><subject>Anastomotic Leak - etiology</subject><subject>Anastomotic Leak - mortality</subject><subject>Disease-Free Survival</subject><subject>Dissection</subject><subject>Dynamic Manuscript</subject><subject>Endoscopy</subject><subject>Esophageal cancer</subject><subject>Esophageal Neoplasms - mortality</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagectomy - methods</subject><subject>Esophagectomy - mortality</subject><subject>Esophagus</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gastrointestinal surgery</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Minimally Invasive Surgical Procedures - mortality</subject><subject>Mortality</subject><subject>Ostomy</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - mortality</subject><subject>Proctology</subject><subject>Retrospective Studies</subject><subject>Science & Technology</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><subject>Veins & arteries</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkUFv1DAQhS0EokvhD3BAlrgUocDYjuOYG1otdKWtuMDZ8nrHravEXuJkq_33uE0pUg-op5nD957ezCPkLYNPDEB9zgB1U1fAoQIlua7gGVmwWvCKc9Y-JwvQAiqudH1CXuV8DYXXTL4kJ4JzKWTDFsRdhBh623VHuo4Hm8MB6fqQBrrBm5DpKqf9lb1EN6b-SM8u1pvVhy90RHcVw-8JqY07mqbRpR4zTZ6WXNSlmNFN462Vsxnza_LC2y7jm_t5Sn59W_1cnlebH9_Xy6-bygklx4o1tYSy7YRvmWdbXyvw3gmoFVfMby33vEVvrdNSWM11u2uhbkEJ1Ex7K07J2ey7H1IJl0fTh-yw62zENGXDRau41ApYQd8_Qq_TNMSSzvAaNAPVQlMoPlNuSDkP6M1-KM8ajoaBua3AzBWYUoG5q8BAEb27t562Pe4eJH9_XoCPM3CD2-SzCxgdPmClJMkl47opG4hCt0-nl2G0Y0hxmaY4FqmYpbng8RKHf0f-J_8f7w2v_A</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Awad, Ziad T.</creator><creator>Abbas, Syed</creator><creator>Puri, Ruchir</creator><creator>Dalton, Brian</creator><creator>Chesire, David J.</creator><general>Springer US</general><general>Springer Nature</general><general>Springer Nature B.V</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0510-9171</orcidid></search><sort><creationdate>20200701</creationdate><title>Minimally Invasive Ivor Lewis Esophagectomy (MILE): technique and outcomes of 100 consecutive cases</title><author>Awad, Ziad T. ; Abbas, Syed ; Puri, Ruchir ; Dalton, Brian ; Chesire, David J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-16450375d3f81f1bf470ffc3047271fba2f28efaac953a9298d8048073e919fa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdominal Surgery</topic><topic>Aged</topic><topic>Anastomosis, Surgical - methods</topic><topic>Anastomosis, Surgical - mortality</topic><topic>Anastomotic Leak - etiology</topic><topic>Anastomotic Leak - mortality</topic><topic>Disease-Free Survival</topic><topic>Dissection</topic><topic>Dynamic Manuscript</topic><topic>Endoscopy</topic><topic>Esophageal cancer</topic><topic>Esophageal Neoplasms - mortality</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagectomy - methods</topic><topic>Esophagectomy - mortality</topic><topic>Esophagus</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gastrointestinal surgery</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Life Sciences & Biomedicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Minimally Invasive Surgical Procedures - mortality</topic><topic>Mortality</topic><topic>Ostomy</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - mortality</topic><topic>Proctology</topic><topic>Retrospective Studies</topic><topic>Science & Technology</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Awad, Ziad T.</creatorcontrib><creatorcontrib>Abbas, Syed</creatorcontrib><creatorcontrib>Puri, Ruchir</creatorcontrib><creatorcontrib>Dalton, Brian</creatorcontrib><creatorcontrib>Chesire, David J.</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</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>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>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</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>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Awad, Ziad T.</au><au>Abbas, Syed</au><au>Puri, Ruchir</au><au>Dalton, Brian</au><au>Chesire, David J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Minimally Invasive Ivor Lewis Esophagectomy (MILE): technique and outcomes of 100 consecutive cases</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><stitle>SURG ENDOSC</stitle><addtitle>Surg Endosc</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>34</volume><issue>7</issue><spage>3243</spage><epage>3255</epage><pages>3243-3255</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Esophagectomy is the mainstay of therapy for esophageal cancer but is a complex operation that is associated with significantly high morbidity and mortality rates. The primary aim of this study is to report our perioperative outcomes, and long-term survival of Minimally Invasive Ivor Lewis Esophagectomy (MILE).
Methods
IRB approved retrospective study of 100 consecutive patients who underwent elective MILE from September 2013 to November 2017 at University of Florida, Jacksonville.
Results
Primary diagnosis was esophageal cancer (
n
= 96) and benign esophageal disease (
n
= 4). Anastomotic leak rate was observed in 6%; 30- and 90-day mortality rates were 2% and 3%, respectively. The mean length of hospital stay was 10.3 days; 87 patients were discharged to home, while 12 patients were discharged to rehabilitation facility, and there was one in-hospital mortality secondary to graft necrosis. At a mean follow-up was 37 months (2–74), the 3- and 5-year overall survivals are 63.9 ± 5.0% (95% CI 53.3–72.7%) and 60.5 ± 5.3% (95% CI 49.4–69.9%), respectively. The 3- and 5-year disease-free survival is 75.0 ± 4.8% (95% CI 64.2–83.0%) and 70.4 ± 5.5% (95% CI 58.0–80.0%).
Conclusion
MILE can be performed with low perioperative mortality, and favorable long-term overall and disease-free survival.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32253561</pmid><doi>10.1007/s00464-020-07529-0</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-0510-9171</orcidid></addata></record> |
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| source | MEDLINE; Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; SpringerNature Journals |
| subjects | Abdominal Surgery Aged Anastomosis, Surgical - methods Anastomosis, Surgical - mortality Anastomotic Leak - etiology Anastomotic Leak - mortality Disease-Free Survival Dissection Dynamic Manuscript Endoscopy Esophageal cancer Esophageal Neoplasms - mortality Esophageal Neoplasms - surgery Esophagectomy - methods Esophagectomy - mortality Esophagus Female Gastroenterology Gastrointestinal surgery Gynecology Hepatology Hospital Mortality Humans Laparoscopy Length of Stay - statistics & numerical data Life Sciences & Biomedicine Male Medicine Medicine & Public Health Middle Aged Minimally Invasive Surgical Procedures - methods Minimally Invasive Surgical Procedures - mortality Mortality Ostomy Postoperative Complications - etiology Postoperative Complications - mortality Proctology Retrospective Studies Science & Technology Surgery Surgical outcomes Survival Rate Treatment Outcome Veins & arteries |
| title | Minimally Invasive Ivor Lewis Esophagectomy (MILE): technique and outcomes of 100 consecutive cases |
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