TY - JOUR
T1 - Results of the introduction of a minimally invasive esophagectomy program in a tertiary referral center
AU - Blom, Rachel L. G. M.
AU - Klinkenbijl, Jean H. G.
AU - Hollmann, Markus W.
AU - Bergman, Jacques J. G. H. M.
AU - Cuesta, Miguel A.
AU - Bemelman, Willem A.
AU - Busch, Olivier R. C.
AU - van Berge Henegouwen, M. I.
PY - 2012
Y1 - 2012
N2 - Background: Esophagectomy is accompanied by a high postoperative complication rate. Minimally invasive esophageal surgery appears to be a promising technique that might be associated with a lower pulmonary morbidity rate. The objective of this study was to describe the implementation of minimally invasive esophageal surgery in a tertiary referral center and to compare the results of our first series of minimally invasive esophagectomies (MIE) to conventional open esophagectomies. Methods: MIE was implemented after several procedures had been proctored by a surgeon with extensive experience with MIE. Preoperative characteristics and the postoperative course of patients who underwent a transthoracic esophagectomy were prospectively registered. Morbidity and overall hospital stay were compared between minimally invasive and open resections performed in the same period. Results: A total of 90 consecutive esophageal cancer patients underwent a transthoracic resection, 41 patients by means of a minimally invasive approach. Preoperative characteristics were comparable for both groups. The duration of surgery was longer in the MIE group (6.0 vs. 5.2 hours, P <0.001) and median blood loss was lower [100 vs. 500 mL (P <0.001)]. There was only a trend towards a shorter hospital stay in the MIE group (11 vs. 13 days, P=0.072), pulmonary complications occurred in 20% of patients in the MIE group vs. 31% in the open group (P=0.229). The overall complication rate was 51% in the MIE group vs. 63% in the open group, P=0.249. Conclusions: Implementation of MIE in our center was successful and it appears to be a safe technique for patients with potentially curable esophageal carcinoma
AB - Background: Esophagectomy is accompanied by a high postoperative complication rate. Minimally invasive esophageal surgery appears to be a promising technique that might be associated with a lower pulmonary morbidity rate. The objective of this study was to describe the implementation of minimally invasive esophageal surgery in a tertiary referral center and to compare the results of our first series of minimally invasive esophagectomies (MIE) to conventional open esophagectomies. Methods: MIE was implemented after several procedures had been proctored by a surgeon with extensive experience with MIE. Preoperative characteristics and the postoperative course of patients who underwent a transthoracic esophagectomy were prospectively registered. Morbidity and overall hospital stay were compared between minimally invasive and open resections performed in the same period. Results: A total of 90 consecutive esophageal cancer patients underwent a transthoracic resection, 41 patients by means of a minimally invasive approach. Preoperative characteristics were comparable for both groups. The duration of surgery was longer in the MIE group (6.0 vs. 5.2 hours, P <0.001) and median blood loss was lower [100 vs. 500 mL (P <0.001)]. There was only a trend towards a shorter hospital stay in the MIE group (11 vs. 13 days, P=0.072), pulmonary complications occurred in 20% of patients in the MIE group vs. 31% in the open group (P=0.229). The overall complication rate was 51% in the MIE group vs. 63% in the open group, P=0.249. Conclusions: Implementation of MIE in our center was successful and it appears to be a safe technique for patients with potentially curable esophageal carcinoma
U2 - https://doi.org/10.3978/j.issn.2072-1439.2012.09.05
DO - https://doi.org/10.3978/j.issn.2072-1439.2012.09.05
M3 - Article
C2 - 23050110
SN - 2072-1439
VL - 4
SP - 467
EP - 473
JO - Journal of thoracic disease
JF - Journal of thoracic disease
IS - 5
ER -