https://scholars.lib.ntu.edu.tw/handle/123456789/493532
標題: | Comparison of single- and multi-incision minimally invasive esophagectomy (MIE) for treating esophageal cancer: a propensity-matched study | 作者: | JANG-MING LEE Chen S.-C. SHUN-MAO YANG Tseng Y.-F. Yang P.-W. PEI-MING HUANG |
公開日期: | 2017 | 出版社: | Springer New York LLC | 卷: | 31 | 期: | 7 | 起(迄)頁: | 2925-2931 | 來源出版物: | Surgical Endoscopy | 摘要: | 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?0.05). There was no surgical mortality in the single-incision MIE group. Conclusion: Minimally invasive esophagectomy performed with a single-incision approach is feasible for treating patients with esophageal cancer, with a comparable perioperative outcome with that of multi-incision approaches. The postoperative pain one week after surgery was significantly reduced in patients undergoing single-incision MIE. ? 2016, Springer Science+Business Media New York. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84994464073&doi=10.1007%2fs00464-016-5308-9&partnerID=40&md5=8b2f26a2a43344eb76c8f998ee4abb3d https://scholars.lib.ntu.edu.tw/handle/123456789/493532 |
ISBN: | 27826778 | ISSN: | 0930-2794 | DOI: | 10.1007/s00464-016-5308-9 | SDG/關鍵字: | 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 |
顯示於: | 醫學系 |
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