Comparison of single- and multi-incision minimally invasive esophagectomy (MIE) for treating esophageal cancer: a propensity-matched study
Journal
Surgical Endoscopy
Journal Volume
31
Journal Issue
7
Pages
2925-2931
ISBN
27826778
Date Issued
2017
Author(s)
Abstract
Objective: To compare the perioperative outcome of minimally invasive (MIE) esophagectomy performed with a single- or a multi-incision in treating esophageal cancer. Method: Patients with esophageal cancer who underwent MIE from 2006 to 2016 were evaluated. A 3–4-cm incision was created in both the thoracoscopic and the laparoscopic phases during the single-incision MIE procedures. A propensity-matched comparison was made between the two groups of patients. Results: We analyzed a total of 48 pairs of patients with propensity-matched from the cohort of 360 patients undergoing MIE during 2006–2015. There is no statistical difference in terms of postoperative ICU and hospital stay, number of dissected lymph nodes and presence of major surgical complications (anastomotic leakage and pulmonary complications) between the two groups of patients. The pain score one week after surgery was significantly lower in the single-incision group (p?
SDGs
Other Subjects
adult; anastomosis leakage; Article; clinical outcome; controlled study; esophagus cancer; esophagus resection; female; heart arrhythmia; hiatus hernia; human; incision; intermethod comparison; lung disease; lymph node dissection; major clinical study; male; middle aged; minimally invasive surgery; perioperative period; pleura effusion; pneumothorax; postoperative complication; postoperative pain; priority journal; vocal cord paralysis; adenocarcinoma; aged; comparative study; esophagus resection; esophagus tumor; laparoscopy; procedures; propensity score; retrospective study; squamous cell carcinoma; statistical analysis; thoracoscopy; treatment outcome; Adenocarcinoma; Adult; Aged; Carcinoma, Squamous Cell; Esophageal Neoplasms; Esophagectomy; Female; Humans; Laparoscopy; Male; Matched-Pair Analysis; Middle Aged; Propensity Score; Retrospective Studies; Thoracoscopy; Treatment Outcome
Publisher
Springer New York LLC
Type
journal article