Comparison of thoraco-laparoscopic and open three-field subtotal esophagectomy for esophageal cancer.
- Author:
Bao-xing LIU
1
;
Yin LI
;
Jian-jun QIN
;
Rui-xiang ZHANG
;
Xian-ben LIU
;
Hai-bo SUN
;
Shi-lei LIU
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Esophageal Neoplasms; surgery; Esophagectomy; methods; Female; Humans; Laparoscopy; Lymph Node Excision; Male; Middle Aged; Retrospective Studies; Thoracoscopy; Treatment Outcome
- From: Chinese Journal of Gastrointestinal Surgery 2012;15(9):938-942
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the safety and efficacy of thoraco-laparoscopic subtotal esophagectomy in the treatment of esophageal cancer.
METHODSClinical data of 98 patients with esophageal cancer who underwent thoraco-laparoscopic subtotal esophagectomy from March 2009 to October 2011 were retrospectively analyzed. One hundred and five patients were served as controls who underwent open three-field subtotal esophagectomy in the same period.
RESULTSThere were significant differences between thoraco-laparoscopic and open three-field subtotal esophagectomy in blood loss [(85.1±32.8) ml vs. (215.5±60.6) ml], length of stay [(12.7±3.5) d vs. (16.9±4.5) d]), pneumonia (4.1% vs. 12.4%, P<0.05), atelectasis (3.1% vs. 10.5%, P<0.05), pleural effusion (3.1% vs. 10.5%, P<0.05), acute respiratory distress (1.0% vs. 7.6%, P<0.05) and arrhythmia (4.1% vs. 12.4%, P<0.05). No significant differences were observed in the number of lymph node harvested, operative time, anastomotic leak, thoracic abscess, chyle chest, re-laparotomy, re-thoracotomy, vocal cord paralysis, renal failure, gastric emptying, and mortality (all P>0.05).
CONCLUSIONThoraco-laparoscopic subtotal esophagectomy is technically feasible and safe and is associated with less blood loss, less cardiopulmonary complication, and shorter hospital stay.