https://scholars.lib.ntu.edu.tw/handle/123456789/493569
標題: | Is there any benefit to incorporating a laparoscopic procedure into minimally invasive esophagectomy? the impact on perioperative results in patients with esophageal cancer | 作者: | JANG-MING LEE Cheng J.-W. MING-TSAN LIN PEI-MING HUANG JIN-SHING CHEN Lee Y.-C. |
公開日期: | 2011 | 卷: | 35 | 期: | 4 | 起(迄)頁: | 790-797 | 來源出版物: | World Journal of Surgery | 摘要: | 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. ? 2011 Soci?t? Internationale de Chirurgie. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-79952192204&doi=10.1007%2fs00268-011-0955-4&partnerID=40&md5=cdefd9c38dda5dcb1845363db6282e7c https://scholars.lib.ntu.edu.tw/handle/123456789/493569 |
ISBN: | 21327605 | ISSN: | 0364-2313 | DOI: | 10.1007/s00268-011-0955-4 | SDG/關鍵字: | adult; aged; article; cancer staging; cohort analysis; comparative study; disease free survival; esophagoscopy; esophagus resection; esophagus tumor; female; follow up; human; Kaplan Meier method; laparoscopy; male; methodology; middle aged; minimally invasive surgery; mortality; pathology; pathophysiology; perioperative period; postoperative complication; retrospective study; risk assessment; survival; Taiwan; treatment outcome; tumor recurrence; video assisted thoracoscopic surgery; Adult; Aged; Cohort Studies; Disease-Free Survival; Esophageal Neoplasms; Esophagectomy; Esophagoscopy; Female; Follow-Up Studies; Humans; Kaplan-Meier Estimate; Laparoscopy; Male; Middle Aged; Neoplasm Recurrence, Local; Neoplasm Staging; Perioperative Care; Postoperative Complications; Retrospective Studies; Risk Assessment; Surgical Procedures, Minimally Invasive; Survival Analysis; Taiwan; Thoracic Surgery, Video-Assisted; Treatment Outcome |
顯示於: | 醫學系 |
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