Video-assisted thoracoscopic esophagectomy in esophageal carcinoma.
- Author:
Li-jie TAN
1
;
Qun WANG
;
Ming-xiang FENG
;
Di GE
;
Zheng-lang XU
;
Wei JIANG
;
Song-tao XU
;
Jian-yong DING
;
Wei-gang GUO
Author Information
- Publication Type:Journal Article
- MeSH: Esophageal Neoplasms; surgery; Esophagectomy; methods; Female; Humans; Male; Middle Aged; Thoracic Surgery, Video-Assisted
- From: Chinese Journal of Gastrointestinal Surgery 2008;11(1):24-27
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the efficacy and safety of video-assisted thoracoscopic (VATS) esophagectomy in the treatment of esophageal cancer.
METHODSFrom June 2004 to October 2007, video-assisted thoracoscopic esophagectomy was performed in 36 patients, including 29 men and 7 women with median age of 58.9 years old. The cancer located at upper segment in 5 cases, middle 25 cases and lower 6 cases. VATS approach was used to mobilize the intrathoracic esophagus and stomach was mobilized by open approach. Esophagogastric anastomosis was performed in the left neck.
RESULTSThe mean operative time was 250 minutes (190-330 min) and average time of VATS was 70 minutes. The mean hospital stay was 8.7 days. Mean lymph node harvest was 14.3 nodes. Post-operative complications occurred in 11 patients(30.6%), but no perioperative death occurred.
CONCLUSIONVideo-assisted thoracoscopic esophagectomy is technically feasible and safe with lower morbidity and shorter hospital stay as compared to open procedure, and may replace the open esophagectomy in selected patients.
