A retrospective study of short-term outcomes of minimally invasive Ivor-Lewis esophagectomy and McKeown esophagectomy for thoracic middle-lower esophageal carcinoma
10.3760/cma.j.issn.1001-4497.2014.11.003
- VernacularTitle:微创Ivor-Lewis术与McKeown术治疗胸中下段食管癌近期疗效比较
- Author:
Hanran WU
;
Mingran XIE
;
Changqing LIU
;
Meiqing XU
;
Mingfa GUO
- Publication Type:Journal Article
- Keywords:
Esophageal neoplasms;
Esophagectomy;
Thoracoscopes;
Laparoscopes;
Intrathoracic anastomosis
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2014;30(11):649-652
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility,safety and curative effect of combined laparoscopic and thoracoscopic esophagectomy for esophageal carcinoma and gastro-esophageal anastomosis in right thoracic cavity.Methods We retrospectively evaluated 357patients with esophageal carcinoma who received minimally invasive esophagectomy(MIE) in our center between October 2011 and March 2014.Of those 357 patients,219 underwent MIILE and 138 underwent MIME.The clinicopathologic factors,operational factors,postoperative complications and postoperative recurrence were compared.Results The 2 groups were similar in terms of age,sex,American Society of Anesthesiologists grade,tumor location,preoperative staging.The MILLE approach was associated with no significant decrease in surgical blood loss.Duration of operation,chest tube duration,hospitalization expenses and postoperative stay relative to the MIME approach(P ＞ 0.05).There was no significant difference between the 2 groups in postoperative complications(P ＞0.05).The MIILE approach was associated with significantly fewer anastomotic fistula,RLN injury,anastomotic stensis than the MIME approach(P ＜0.05).Conclusion Our MIILEtechnique can be safely and effectively performed for intrathoracic anastomosis during esophageal surgeries with favorable early outcomes.
