Short-term postoperative superiority and 5-year follow-up outcomes of video-assisted thoracoscopic esophagectomy for treatment of esophageal carcinoma: a historical comparison with ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-09-04

AUTHORS

Osamu Komine, Yoichi Tanaka, Yoshiyuki Kawashima, Hirohiko Sakamoto, Masanori Watanabe, Hideyuki Suzuki, Akira Tokunaga, Eiji Uchida

ABSTRACT

BackgroundFew reports have provided a direct comparison of thoracoscopic and open esophagectomy for treatment of esophageal carcinoma in a sufficiently large number of patients with an adequate follow-up period.MethodsWe compared the short- and long-term (up to 5 years after surgery) outcomes of 121 patients who had undergone video-assisted thoracoscopic esophagectomy with 3-field lymphadenectomy (the VATE group) and 74 patients who had undergone conventional open esophagectomy with 3-field lymphadenectomy (the OE group) for treatment of esophageal squamous cell carcinoma.ResultsTotal and intrathoracic operation times were longer and total and intrathoracic blood losses were lower in the VATE group than in the OE group. The number of dissected lymph nodes around the left recurrent laryngeal nerve was significantly higher, while both the intensive care unit stay and postoperative hospital stay were significantly shorter in the VATE group. Moreover, the frequency of postoperative analgesia use was lower in the VATE group. Overall morbidity and mortality rates were similar, and the incidences of overall, surgical-site, and thoracic wound infections were significantly lower in the VATE group. Additionally, the incidence of postoperative pneumonia was also lower in the VATE group, although the difference was not statistically significant. No differences were observed in recurrence or survival rates.ConclusionVideo-assisted thoracoscopic esophagectomy with 3-field lymphadenectomy is a safe and effective surgical method that can be used as an alternative to conventional open esophagectomy in patients with curable esophageal carcinoma. More... »

PAGES

54-63

References to SciGraph publications

  • 2002-11-01. Video-assisted thoracoscopic esophagectomy and radical lymph node dissection for esophageal cancer in SURGICAL ENDOSCOPY
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  • 2007-06-29. Minimally invasive radical esophagectomy for esophageal cancer in ESOPHAGUS
  • 2010-03-18. Comparison of three different operative methods of video-assisted thoracoscopic esophagectomy in ESOPHAGUS
  • 2011-10-18. Minimally invasive esophagectomy: evaluation of mediastinal lymphadenectomy for T1b thoracic esophageal cancer in ESOPHAGUS
  • 2006-09-06. Open transthoracic or transhiatal esophagectomy versus minimally invasive esophagectomy in terms of morbidity, mortality and survival in SURGICAL ENDOSCOPY
  • 2011-09-05. Effectiveness of combined thoracoscopic–laparoscopic esophagectomy: comparison of postoperative complications and midterm oncological outcomes in patients with esophageal cancer in SURGICAL ENDOSCOPY
  • 2006-02. Surgical Site Infection in General and Thoracic Surgery: Surveillance of 2 663 Cases in a Japanese Teaching Hospital in SURGERY TODAY
  • 2003-06-19. Comparison of three-field esophagectomy for esophageal cancer incorporating open or thoracoscopic thoracotomy in SURGICAL ENDOSCOPY
  • 2012-06-30. Thoracoscopic esophagectomy while in a prone position for esophageal cancer: a preceding anterior approach method in SURGICAL ENDOSCOPY
  • 2007-06. Minimally invasive esophagectomy in EUROPEAN SURGERY
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    http://scigraph.springernature.com/pub.10.1007/s10388-013-0388-2

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